Jeffrey A Andre, CRNA in Gulfport, MS - Medicare Nurse Anesthetist, Certified Registered

Jeffrey A Andre, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gulfport, Mississippi. His current practice location is 15200 Community Rd, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 575-7000.

Jeffrey A Andre is licensed to practice in Mississippi (license number 901434) 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 1619188604.

Contact Information

	Jeffrey A Andre, CRNA
	15200 Community Rd, Gulfport, MS 39503-3085
	(228) 575-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeffrey A Andre
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	15200 Community Rd, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619188604
Provider Enumeration Date: 05/24/2007
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5193826253
Enrollment ID: I20171017001185

Medical Identifiers

Medical identifiers for Jeffrey A Andre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619188604	NPI	-	NPPES
211608907	Medicaid	TX
1011886	Medicaid	LA
8839UA	Other	TX	BLUE CROSS BLUE SHIELD
211608906	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	093642 (Louisiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	779617 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	901434 (Mississippi)	Primary

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. Jeffrey A Andre allows following entities to bill medicare on his behalf.

Entity Name	Singing River Health System
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1740918937 PECOS PAC ID: 3870405194 Enrollment ID: O20221202000423

Entity Name	Singing River Gulfport
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1780312504 PECOS PAC ID: 5294154829 Enrollment ID: O20230106000462

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. Jeffrey A Andre 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
Jeffrey A Andre, CRNA 2101 Highway 90, Gautier, MS 39553-5340 Ph: (228) 497-7576	Jeffrey A Andre, CRNA 15200 Community Rd, Gulfport, MS 39503-3085 Ph: (228) 575-7000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gulfport, MS

Kathryn Pittman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Jason Wells, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3281 Fax: 228-867-5117
Victor P Polito, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503 Phone: 228-831-0204 Fax: 228-831-1868
Glen Deitrick, C.R.N.A Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503 Phone: 228-831-0204 Fax: 228-831-1868
Glen Michael Cavalier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000
Julie K Klester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503 Phone: 228-831-0204 Fax: 228-831-1868
Trinh Thu Weatherly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000

Jeffrey A Andre, CRNA - Medicare Nurse Anesthetist, Certified Registered in Gulfport, MS