Jessika O Tynes, CRNA in Saint Louis, MO - Medicare Nurse Anesthetist, Certified Registered

Jessika O Tynes, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Louis, Missouri. Her current practice location is 3015 N Ballas Rd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 604-2813.

Jessika O Tynes is licensed to practice in Missouri (license number 2024039033) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447920640.

Contact Information

	Jessika O Tynes, CRNA
	3015 N Ballas Rd, Saint Louis, MO 63131-2329
	(314) 604-2813
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessika O Tynes
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3015 N Ballas Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447920640
Provider Enumeration Date: 09/18/2021
Last Update Date: 05/23/2025

Medicare PECOS Information:

PECOS PAC ID: 5294195467
Enrollment ID: I20230719002516

Medical Identifiers

Medical identifiers for Jessika O Tynes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447920640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209027699 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2024039033 (Missouri)	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. Jessika O Tynes allows following entities to bill medicare on her behalf.

Entity Name	Endeavor Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Jessika O Tynes 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
Jessika O Tynes, CRNA 3015 N Ballas Rd, Saint Louis, MO 63131-2329 Ph: () -	Jessika O Tynes, CRNA 3015 N Ballas Rd, Saint Louis, MO 63131-2329 Ph: (314) 604-2813

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Louis, MO

Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479

Jessika O Tynes, CRNA - Medicare Nurse Anesthetist, Certified Registered in Saint Louis, MO