Jason Gerald Rewalt, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Port Huron, MI

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Jason Gerald Rewalt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Port Huron, Michigan. He went to Wayne State University School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Asa Staffing Inc, Lakeshore Surgery Anesthesia Billing and his current practice location is 1221 Pine Grove Ave, Port Huron, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 987-5000.

Jason Gerald Rewalt is licensed to practice in Michigan (license number 4704282799) 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 1790234011.

Contact Information

Jason Gerald Rewalt, CRNA
1221 Pine Grove Ave,
Port Huron, MI 48060-3511
(810) 987-5000
Not Available

Map and Direction




Provider's Profile

Full NameJason Gerald Rewalt
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location1221 Pine Grove Ave, Port Huron, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason Gerald Rewalt attended and graduated from Wayne State University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1790234011
  • Provider Enumeration Date: 09/27/2016
  • Last Update Date: 09/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8224317086
  • Enrollment ID: I20161118000053

Medical Identifiers

Medical identifiers for Jason Gerald Rewalt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790234011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704282799 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren Port HuronPort huron, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Asa Staffing Inc3971898644113
Lakeshore Surgery Anesthesia Billing67093212687

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 Gerald Rewalt allows following entities to bill medicare on his behalf.
Entity NameAscension River District Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225102569
PECOS PAC ID: 0446153407
Enrollment ID: O20040311001049
Entity NameMacomb Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639248206
PECOS PAC ID: 2860486388
Enrollment ID: O20040408001058
Entity NameAsa Staffing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114378981
PECOS PAC ID: 3971898644
Enrollment ID: O20160818002713
Entity NamePrime Healthcare Services-port Huron Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1912525361
PECOS PAC ID: 7214245208
Enrollment ID: O20200729002203
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990
Entity NameLakeshore Surgery Anesthesia Billing
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417706342
PECOS PAC ID: 6709321268
Enrollment ID: O20240709004448

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 Gerald Rewalt 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 AddressPractice Location Address
Jason Gerald Rewalt, CRNA
37583 Mulberry Ln,
Richmond, MI 48062-1662

Ph: (586) 242-0687		Jason Gerald Rewalt, CRNA
1221 Pine Grove Ave,
Port Huron, MI 48060-3511

Ph: (810) 987-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Port Huron, MI

Philip Ross Lepine, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-987-5000    
Mr. Todd D Boswell, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2601 Electric Ave, Port Huron, MI 48060
Phone: 810-985-1550    Fax: 810-966-3104
Patrina Quinn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-987-5000    
David John Arden, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-987-5000    Fax: 810-985-2633
Sherry Lynn Bombardo, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-985-7000    Fax: 810-985-2633
Carrie L Cook, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 952-442-9770    Fax: 952-442-3620
Lynn A Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060
Phone: 810-987-5000    Fax: 952-442-3620

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.