Mr Clare D Heidler Iv, CRNA in Statesboro, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Clare D Heidler Iv, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Statesboro, Georgia. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Prisma Health University Medical Group and his current practice location is 1497 Fair Rd, Suite 102, Statesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 486-1973.

Mr Clare D Heidler Iv is licensed to practice in South Carolina (license number 19789) 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 1114291051.

Contact Information

	Mr Clare D Heidler Iv, CRNA
	1497 Fair Rd, Suite 102, Statesboro, GA 30458-0822
	(912) 486-1973
	(912) 681-4184

Map and Direction

Provider's Profile

Full Name	Mr Clare D Heidler Iv
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	1497 Fair Rd, Statesboro, Georgia
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:

Mr Clare D Heidler Iv graduated from nursing school in 2011

NPI Data:

NPI Number: 1114291051
Provider Enumeration Date: 02/23/2012
Last Update Date: 01/05/2022

Medicare PECOS Information:

PECOS PAC ID: 6305008400
Enrollment ID: I20210426002056

Medical Identifiers

Medical identifiers for Mr Clare D Heidler Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114291051	NPI	-	NPPES
GAN309	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	205653 (South Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	088676 (South Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	19789 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Greenville Memorial Hospital	Greenville, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health University Medical Group	8325950983	2220

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. Mr Clare D Heidler Iv allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Prisma Health-upstate
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767

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. Mr Clare D Heidler Iv 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
Mr Clare D Heidler Iv, CRNA 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0822 Ph: (912) 486-1973	Mr Clare D Heidler Iv, CRNA 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0822 Ph: (912) 486-1973

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Statesboro, GA

Catherine A Landry-arseneault, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1973
Tagel Elizabeth Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1000
Mr. Robert D Counts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30459 Phone: 912-486-1000 Fax: 912-871-2392
Trevor Weathersby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1000
David Derosso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 704-662-5544
Mr. James Robert Stockton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-681-1150
Mark A Leszczynski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Fair Rd, Statesboro, GA 30458 Phone: 877-727-1960 Fax: 706-854-8454

Mr Clare D Heidler Iv, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Statesboro, GA