Johnny F Clendenin Jr, CRNA in Pine Bluff, AR - Medicare Nurse Anesthetist, Certified Registered

Johnny F Clendenin Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pine Bluff, Arkansas. His current practice location is 1801 W 40th Ave, Suite 2b, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 535-7457.

Johnny F Clendenin Jr is licensed to practice in Arkansas (license number C01168) 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 1962465948.

Contact Information

	Johnny F Clendenin Jr, CRNA
	1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6900
	(870) 535-7457
	(870) 535-2522

Map and Direction

Provider's Profile

Full Name	Johnny F Clendenin Jr
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1801 W 40th Ave, Pine Bluff, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962465948
Provider Enumeration Date: 04/10/2006
Last Update Date: 06/24/2008

Medicare PECOS Information:

PECOS PAC ID: 8729038435
Enrollment ID: I20050129000242

Medical Identifiers

Medical identifiers for Johnny F Clendenin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962465948	NPI	-	NPPES
145162701	Medicaid	AR
P00319061	Other		RR MCR
5U558	Other	AR	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	C01168 (Arkansas)	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. Johnny F Clendenin Jr allows following entities to bill medicare on his behalf.

Entity Name	Orthoarkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952336869 PECOS PAC ID: 1456256031 Enrollment ID: O20031205000490

Entity Name	Premier Gastroenterology Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538663729 PECOS PAC ID: 1153685474 Enrollment ID: O20180514000249

Entity Name	Jefferson Regional Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205301587 PECOS PAC ID: 6204171846 Enrollment ID: O20181231000163

Entity Name	Billins Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184284291 PECOS PAC ID: 5890025894 Enrollment ID: O20190917003746

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. Johnny F Clendenin Jr 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
Johnny F Clendenin Jr, CRNA Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457	Johnny F Clendenin Jr, CRNA 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6900 Ph: (870) 535-7457

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Pine Bluff, AR

Gary W Manly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522
Jonathan M Loetscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522
Jason Bobo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3302 Shamrock Dr, Pine Bluff, AR 71603 Phone: 870-489-4864
Kolton Layne Hooks, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-7100
Jon C Valentine, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522
Walter P Theriot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522
James C Rassier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522

Johnny F Clendenin Jr, CRNA - Medicare Nurse Anesthetist, Certified Registered in Pine Bluff, AR