Devaughn Jerron Pollard, NP in Roanoke, VA - Medicare Nurse Practitioner

Devaughn Jerron Pollard, NP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roanoke, Virginia. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Intensive Care Consortium Inc, Anesthesiology Consultants Exchange, Pc and his current practice location is 1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 981-7000.

Devaughn Jerron Pollard is licensed to practice in Tennessee (license number 29077) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184064131.

Contact Information

	Devaughn Jerron Pollard, NP
	1906 Belleview Ave Se, Roanoke, VA 24014-1838
	(540) 981-7000
	(540) 853-0931

Map and Direction

Provider's Profile

Full Name	Devaughn Jerron Pollard
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	1906 Belleview Ave Se, Roanoke, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Devaughn Jerron Pollard graduated from nursing school in 2013

NPI Data:

NPI Number: 1184064131
Provider Enumeration Date: 07/04/2013
Last Update Date: 09/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0941515704
Enrollment ID: I20190226001133

Medical Identifiers

Medical identifiers for Devaughn Jerron Pollard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184064131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0024175543 (Virginia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	4704246058 (Michigan)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN9438200 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	29077 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Erlanger Medical Center	Chattanooga, TN	Hospital
Palms West Hospital	Loxahatchee, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intensive Care Consortium Inc	0244269413	444
Anesthesiology Consultants Exchange, Pc	2365434297	153

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Devaughn Jerron Pollard allows following entities to bill medicare on his behalf.

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807

Entity Name	Intensive Care Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20050808000883

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Devaughn Jerron Pollard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Devaughn Jerron Pollard, NP 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000	Devaughn Jerron Pollard, NP 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roanoke, VA

Mrs. Terry Lea Yeager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Fourth Floor, Dept. Of Anesthesia, Roanoke, VA 24014 Phone: 540-853-0222
Joshua Michael Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000
Miss Soyini Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-494-4897
Ms. Megan Tiffany, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855
Mr. Harrison Johnston Shull Iii, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-857-5363
Brian A Fedorchak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855
Amanda Dillen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222

Devaughn Jerron Pollard, NP - Medicare Nurse Practitioner in Roanoke, VA