Jason Maxwell Bohrer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mebane, North Carolina. His current practice location is
947 Bonanza Ln, Mebane, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(609) 319-8069.
Jason Maxwell Bohrer is licensed to practice in North Carolina (license number 7562) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164202529.
Provider's Profile
| Full Name | Jason Maxwell Bohrer |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 947 Bonanza Ln, Mebane, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164202529
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 01/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961922497
- Enrollment ID: I20250226003995
Medical Identifiers
Medical identifiers for Jason Maxwell Bohrer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164202529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 7562 (North Carolina) | Primary |
| 163WS0200X | Registered Nurse - School | T4F53XWI (North Carolina) | Secondary |
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. Jason Maxwell Bohrer allows following entities to bill medicare on his behalf.
| Entity Name | Duke University Health System, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558392977
PECOS PAC ID: 2567372345
Enrollment ID: O20031201000521 |
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| Entity Name | Duke Health Integrated Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247 |
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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. Jason Maxwell Bohrer 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 |
|---|
Jason Maxwell Bohrer, CRNA
947 Bonanza Ln,
Mebane, NC 27302-9986
Ph: (609) 319-8069 | Jason Maxwell Bohrer, CRNA
947 Bonanza Ln,
Mebane, NC 27302-9986
Ph: (609) 319-8069 |
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