Jaxon Dean Anderson, CRNA in Idaho Falls, ID - Medicare Certified Registered Nurse Anesthetist (crna)

Jaxon Dean Anderson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Idaho Falls, Idaho. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mountain View Hospital Llc and his current practice location is 2325 Coronado St, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 557-2700.

Jaxon Dean Anderson is licensed to practice in Idaho (license number 847A) 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 1043568892.

Contact Information

	Jaxon Dean Anderson, CRNA
	2325 Coronado St, Idaho Falls, ID 83404-7407
	(208) 557-2700
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaxon Dean Anderson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	2325 Coronado St, Idaho Falls, Idaho
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:

Jaxon Dean Anderson graduated from nursing school in 2012

NPI Data:

NPI Number: 1043568892
Provider Enumeration Date: 08/28/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2567614340
Enrollment ID: I20121129000492

Medical Identifiers

Medical identifiers for Jaxon Dean Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043568892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	N-36657 (Idaho)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	847A (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Hospital	Idaho falls, ID	Hospital
Idaho Falls Community Hospital, Llc	Idaho falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountain View Hospital Llc	4486562774	176

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. Jaxon Dean Anderson allows following entities to bill medicare on his behalf.

Entity Name	Boise Anesthesia, P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487602298 PECOS PAC ID: 8426960642 Enrollment ID: O20031105000132

Entity Name	Mountain View Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343

Entity Name	Ambulatory Surgery Center Of Burley, Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1992706840 PECOS PAC ID: 7517006596 Enrollment ID: O20091204000125

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. Jaxon Dean Anderson 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
Jaxon Dean Anderson, CRNA Po Box 4268, Portland, OR 97208-4268 Ph: (503) 372-2740	Jaxon Dean Anderson, CRNA 2325 Coronado St, Idaho Falls, ID 83404-7407 Ph: (208) 557-2700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Idaho Falls, ID

Reed D Loertscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6285
Mr. David Joseph Swope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2375 E Sunnyside Rd, Suite B, Idaho Falls, ID 83404 Phone: 208-421-1159
Carlene M Canfield, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 E 17th St, Idaho Falls, ID 83404 Phone: 208-525-2090 Fax: 208-525-2662
Douglas Jex, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269
Mr. Bryan Todd Merkley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-557-2700
Brent Michael Sutherland, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2532 Coronado, Idaho Falls, ID 83404 Phone: 208-557-2700
Mary Waight, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6269

Jaxon Dean Anderson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Idaho Falls, ID