Madison Jo Jimison, CRNA in South Bend, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Madison Jo Jimison, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Bend, Indiana. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Iceland Anesthesia Management Llc and her current practice location is 615 N Michigan St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-1000.

Madison Jo Jimison is licensed to practice in Indiana (license number 144620) 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 1952097339.

Contact Information

	Madison Jo Jimison, CRNA
	615 N Michigan St, South Bend, IN 46601-1087
	(574) 647-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Madison Jo Jimison
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	615 N Michigan St, South Bend, Indiana
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:

Madison Jo Jimison graduated from nursing school in 2023

NPI Data:

NPI Number: 1952097339
Provider Enumeration Date: 04/18/2023
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 9537527155
Enrollment ID: I20230614000726

Medical Identifiers

Medical identifiers for Madison Jo Jimison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952097339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28244374A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	144620 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Union Hospital Inc	Terre haute, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iceland Anesthesia Management Llc	7618372996	55

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. Madison Jo Jimison allows following entities to bill medicare on her behalf.

Entity Name	Iceland Anesthesia Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860

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. Madison Jo Jimison 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
Madison Jo Jimison, CRNA 7688 E Scott St, Dugger, IN 47848-8018 Ph: (419) 973-4158	Madison Jo Jimison, CRNA 615 N Michigan St, South Bend, IN 46601-1087 Ph: (574) 647-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in South Bend, IN

Ms. Jamie Ann Davidson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1536 Crestwood Blvd, South Bend, IN 46635 Phone: 574-360-2619
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161
Alvaro Andres Osorio, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Mrs. Julie Anne Addis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr, South Bend, IN 46635 Phone: 574-271-0893
Mr. Jay Biesenthal, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161
Tyler Allen Rex, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 754-647-1000
Janet Vardaman, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 17501 Generations Dr, South Bend, IN 46635 Phone: 574-234-0049

Madison Jo Jimison, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in South Bend, IN