Mr James David Fountain, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Washington, Utah. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Innovative Anesthesia Solutions Pllc and his current practice location is
3827 S Sweet Escape Dr, Washington, Utah. You can reach out to his office (for appointments etc.) via phone at
(904) 403-8967.
Mr James David Fountain is licensed to practice in Utah (license number 10166914-4406) 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 1760559314.
Provider's Profile
| Full Name | Mr James David Fountain |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 17 Years |
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| Location | 3827 S Sweet Escape Dr, Washington, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr James David Fountain graduated from nursing school in 2007
NPI Data:
- NPI Number: 1760559314
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 01/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911060272
- Enrollment ID: I20180806000992
Medical Identifiers
Medical identifiers for Mr James David Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760559314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | ARNP3245982 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 10166914-4406 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Innovative Anesthesia Solutions Pllc | 2062817760 | 5 |
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. Mr James David Fountain allows following entities to bill medicare on his behalf.
| Entity Name | Innovative Anesthesia Solutions Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730766098
PECOS PAC ID: 2062817760
Enrollment ID: O20210818002306 |
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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. Mr James David Fountain 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 |
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Mr James David Fountain, CRNA
3827 S Sweet Escape Dr,
Washington, UT 84780-3003
Ph: () - | Mr James David Fountain, CRNA
3827 S Sweet Escape Dr,
Washington, UT 84780-3003
Ph: (904) 403-8967 |
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