Matthew Lamar Mccoucha, CRNA NURSE ASSISTANT is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Great Lakes, Illinois. He graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sheridan Healthcorp Inc and his current practice location is
Naval Hospital Great Lakes, 3001 A 6th Street, Great Lakes, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 688-3450.
Matthew Lamar Mccoucha is licensed to practice in Florida (license number ARNP9296655) 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 1902872062.
Provider's Profile
Full Name | Matthew Lamar Mccoucha |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 30 Years |
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Location | Naval Hospital Great Lakes, 3001 A 6th Street, Great Lakes, Illinois |
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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:
- Matthew Lamar Mccoucha graduated from nursing school in 1994
NPI Data:
- NPI Number: 1902872062
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 12/09/2009
Medicare PECOS Information:
- PECOS PAC ID: 9133267396
- Enrollment ID: I20091109000099
Medical Identifiers
Medical identifiers for Matthew Lamar Mccoucha such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902872062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 0024140275 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | ARNP9296655 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sheridan Healthcorp Inc | 3173429693 | 866 |
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. Matthew Lamar Mccoucha allows following entities to bill medicare on his behalf.
Entity Name | Sheridan Healthcorp Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
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Entity Name | Bmr Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619444502 PECOS PAC ID: 1052657319 Enrollment ID: O20190108002942 |
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Entity Name | Anesthesiologists Associated Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851371850 PECOS PAC ID: 6204739519 Enrollment ID: O20191204002262 |
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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. Matthew Lamar Mccoucha 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 |
Matthew Lamar Mccoucha, CRNA NURSE ASSISTANT 1040 Gulf Breeze Parkway, Andrews Institute For Orthopaedics & Sports Medicine, Gulf Breeze, FL 32561 Ph: (850) 916-8700 | Matthew Lamar Mccoucha, CRNA NURSE ASSISTANT Naval Hospital Great Lakes, 3001 A 6th Street, Great Lakes, IL 60088 Ph: (847) 688-3450 |
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