John Adam Self, CRNA in Mobile, AL - Medicare Certified Registered Nurse Anesthetist (crna)

John Adam Self, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mobile, Alabama. He graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Blue Lake Health Springhill Llc and his current practice location is 2451 Fillingim St, Room 335, Mobile, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 471-7045.

John Adam Self is licensed to practice in Alabama (license number 1-124941) 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 1053632638.

Contact Information

	John Adam Self, CRNA
	2451 Fillingim St, Room 335, Mobile, AL 36617-2238
	(251) 471-7045
	Not Available

Map and Direction

Provider's Profile

Full Name	John Adam Self
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	2451 Fillingim St, Mobile, Alabama
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:

John Adam Self graduated from nursing school in 2010

NPI Data:

NPI Number: 1053632638
Provider Enumeration Date: 06/17/2010
Last Update Date: 06/17/2010

Medicare PECOS Information:

PECOS PAC ID: 4284823170
Enrollment ID: I20110107000220

Medical Identifiers

Medical identifiers for John Adam Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053632638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-124941 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Springhill Medical Center	Mobile, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Lake Health Springhill Llc	2365830007	41

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. John Adam Self allows following entities to bill medicare on his behalf.

Entity Name	University Of South Alabama
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992746838 PECOS PAC ID: 3072425149 Enrollment ID: O20040115000773

Entity Name	University Of South Alabama
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417408659 PECOS PAC ID: 3072425149 Enrollment ID: O20170118001161

Entity Name	Usa Health Anesthesia Billing Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629635818 PECOS PAC ID: 1153659123 Enrollment ID: O20190829000530

Entity Name	Blue Lake Health Springhill Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194496216 PECOS PAC ID: 2365830007 Enrollment ID: O20211028001840

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. John Adam Self 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
John Adam Self, CRNA 2451 Fillingim St, Room 335, Mobile, AL 36617-2238 Ph: (251) 471-7045	John Adam Self, CRNA 2451 Fillingim St, Room 335, Mobile, AL 36617-2238 Ph: (251) 471-7045

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mobile, AL

Johnathan E Bruns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577
Mrs. Lisa M Mckinley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd, Suite 430, Mobile, AL 36608 Phone: 251-631-3270
Ted W Holmes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3719 Dauphin St, Springhill Medical Center Anesthesia Dept, Mobile, AL 36608 Phone: 251-342-3000 Fax: 251-342-3043
Lindsey Lovorn Diehl, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 351-633-1000
Richard Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 205-848-2925 Fax: 334-377-4417
Jennifer D Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577

John Adam Self, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mobile, AL