Marlin Lee Jolly, in Tacoma, WA - Medicare Certified Registered Nurse Anesthetist (crna)

Marlin Lee Jolly, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tacoma, Washington. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Arkansas Professional Corporation and his current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-1110.

Marlin Lee Jolly is licensed to practice in Arkansas (license number C003250) 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 1174000913.

Contact Information

	Marlin Lee Jolly,
	9040 Jackson Ave, Tacoma, WA 98431-0001
	(253) 968-1110
	Not Available

Map and Direction

Provider's Profile

Full Name	Marlin Lee Jolly
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	9040 Jackson Ave, Tacoma, Washington
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:

Marlin Lee Jolly graduated from nursing school in 2018

NPI Data:

NPI Number: 1174000913
Provider Enumeration Date: 07/24/2018
Last Update Date: 07/24/2018

Medicare PECOS Information:

PECOS PAC ID: 5698180453
Enrollment ID: I20210916000727

Medical Identifiers

Medical identifiers for Marlin Lee Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174000913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	C003250 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Washington Regional Medical Center	Fayetteville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Anesthesia Of Arkansas Professional Corporation	6406077460	51

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. Marlin Lee Jolly allows following entities to bill medicare on his behalf.

Entity Name	Premier Anesthesia Of Arkansas Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060

Entity Name	Capital Anesthesia Solutions Of Arkansas, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530

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. Marlin Lee Jolly 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
Marlin Lee Jolly, 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: () -	Marlin Lee Jolly, 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-1110

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

Marlin Lee Jolly, - Medicare Certified Registered Nurse Anesthetist (crna) in Tacoma, WA