Harold Richie Bandalan, CRNA in Tyler, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Harold Richie Bandalan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mercy Clinic Springfield Communities, Ozark Anesthesia Associates, Inc. and his current practice location is 1000 S Beckham Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 526-1068.

Harold Richie Bandalan is licensed to practice in Texas (license number 671921) 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 1063594638.

Contact Information

	Harold Richie Bandalan, CRNA
	1000 S Beckham Ave, Tyler, TX 75701-1908
	(903) 526-1068
	(903) 593-4290

Map and Direction

Provider's Profile

Full Name	Harold Richie Bandalan
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	1000 S Beckham Ave, Tyler, Texas
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:

Harold Richie Bandalan graduated from nursing school in 2000

NPI Data:

NPI Number: 1063594638
Provider Enumeration Date: 10/20/2006
Last Update Date: 05/01/2013

Medicare PECOS Information:

PECOS PAC ID: 4082636089
Enrollment ID: I20160707002421

Medical Identifiers

Medical identifiers for Harold Richie Bandalan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063594638	NPI	-	NPPES
141704005	Medicaid	TX
141704006	Medicaid	TX
8649UA	Other	TX	BCBS
86184U	Other	TX	BCBS OF TEXAS
P00288096	Other	TX	PART B RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	671921 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cox Medical Centers	Springfield, MO	Hospital
Mercy Hospital Springfield	Springfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	922
Ozark Anesthesia Associates, Inc.	1850290149	71

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. Harold Richie Bandalan allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

Entity Name	Ozark Anesthesia Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20041109000614

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. Harold Richie Bandalan 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
Harold Richie Bandalan, CRNA P.o. Box 8027, Tyler, TX 75711-8027 Ph: (903) 526-1068	Harold Richie Bandalan, CRNA 1000 S Beckham Ave, Tyler, TX 75701-1908 Ph: (903) 526-1068

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441

Harold Richie Bandalan, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX