Kelly L Terry, CRNA in Tyler, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly L Terry, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mother Frances Hospital Jacksonville and her current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 531-5000.

Kelly L Terry is licensed to practice in Texas (license number 695973) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407000425.

Contact Information

	Kelly L Terry, CRNA
	800 E Dawson St, Tyler, TX 75701-2036
	(903) 531-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly L Terry
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	800 E Dawson St, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly L Terry graduated from nursing school in 2008

NPI Data:

NPI Number: 1407000425
Provider Enumeration Date: 11/05/2008
Last Update Date: 09/20/2019

Medicare PECOS Information:

PECOS PAC ID: 2062576168
Enrollment ID: I20090204000702

Medical Identifiers

Medical identifiers for Kelly L Terry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407000425	NPI	-	NPPES
199841103	Medicaid	TX
330659YN3X	Other	TX	MEDICARE
8329UE	Other	TX	BCBS
8GY772	Other	TX	BCBS
199841102	Medicaid	TX
8A695U	Other	TX	BCBS OF TEXAS
75-1976930-005	Other	TX	TRICARE
P01290909	Other	TX	RAIL ROAD
TIN PLUS 015	Other	TX	TRICARE
199841105	Medicaid	TX
75-2771569-008	Other	TX	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	695973 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital
Christus Mother Frances Hospital- Jacksonville	Jacksonville, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mother Frances Hospital Jacksonville	5597751024	29

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. Kelly L Terry allows following entities to bill medicare on her behalf.

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Christus Good Shepherd Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760908404 PECOS PAC ID: 3779565544 Enrollment ID: O20040604000400

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

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. Kelly L Terry 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
Kelly L Terry, CRNA Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000	Kelly L Terry, CRNA 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 531-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441

Kelly L Terry, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX