Mr Dalton Blake Thames, CRNA in Altus, OK - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Dalton Blake Thames, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Altus, Oklahoma. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Jackson County Memorial Hospital Authority and his current practice location is 1200 E Pecan St, Altus, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 379-5000.

Mr Dalton Blake Thames is licensed to practice in Oklahoma (license number 128248) 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 1740797695.

Contact Information

	Mr Dalton Blake Thames, CRNA
	1200 E Pecan St, Altus, OK 73521-6192
	(580) 379-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dalton Blake Thames
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	1200 E Pecan St, Altus, Oklahoma
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 Dalton Blake Thames graduated from nursing school in 2017

NPI Data:

NPI Number: 1740797695
Provider Enumeration Date: 01/01/2018
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 5698034619
Enrollment ID: I20180122000780

Medical Identifiers

Medical identifiers for Mr Dalton Blake Thames such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740797695	NPI	-	NPPES
200747670A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	128248 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson County Memorial Hospital Authority	Altus, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson County Memorial Hospital Authority	1759293178	44

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 Dalton Blake Thames allows following entities to bill medicare on his behalf.

Entity Name	Jackson County Memorial Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098

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 Dalton Blake Thames 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 Dalton Blake Thames, CRNA 20756 E County Road 153, Blair, OK 73526-9129 Ph: (318) 344-3621	Mr Dalton Blake Thames, CRNA 1200 E Pecan St, Altus, OK 73521-6192 Ph: (580) 379-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Altus, OK

Mr. Michael Orlan Lockhart Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5860 Fax: 580-379-5859
Frances Kay Christopher, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-482-4781 Fax: 580-481-2345
Jessica Lanae Poe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 803-795-8605 Fax: 580-379-5859
Mr. Mark Andrew Waterman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5860
Amanda Jean Werneke, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5860 Fax: 580-379-5859
Mark Vincent Vadney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-482-4781 Fax: 580-481-2345
Brian Lyle Knight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5000 Fax: 580-379-5509

Mr Dalton Blake Thames, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Altus, OK