Jonathan Lee Custer, in Tacoma, WA - Medicare Nurse Anesthetist, Certified Registered

Jonathan Lee Custer, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tacoma, Washington. His current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-0198.

Jonathan Lee Custer is licensed to practice in Georgia (license number RN293835) 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 1861019473.

Contact Information

	Jonathan Lee Custer,
	9040 Jackson Ave, Tacoma, WA 98431-4504
	(253) 968-0198
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Lee Custer
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861019473
Provider Enumeration Date: 06/30/2020
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6406245901
Enrollment ID: I20211122001183

Medical Identifiers

Medical identifiers for Jonathan Lee Custer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861019473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN293835 (Georgia)	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. Jonathan Lee Custer allows following entities to bill medicare on his behalf.

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614

Entity Name	Endo Sedation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221

Entity Name	Schertz Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205491305 PECOS PAC ID: 5496088809 Enrollment ID: O20190617002144

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. Jonathan Lee Custer 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
Jonathan Lee Custer, 3621 Storm Rdg, Schertz, TX 78108-2030 Ph: (901) 335-5650	Jonathan Lee Custer, 9040 Jackson Ave, Tacoma, WA 98431-4504 Ph: (253) 968-0198

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tacoma, WA

Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506

Jonathan Lee Custer, - Medicare Nurse Anesthetist, Certified Registered in Tacoma, WA