Ernest Jay Gross, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Kentucky. His current practice location is
206 Locust St, Providence, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(205) 919-0863.
Ernest Jay Gross is licensed to practice in Iowa (license number D166143) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043640840.
Provider's Profile
| Full Name | Ernest Jay Gross |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 206 Locust St, Providence, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043640840
- Provider Enumeration Date: 11/15/2013
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395097539
- Enrollment ID: I20181016002813
Medical Identifiers
Medical identifiers for Ernest Jay Gross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043640840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | RN2329494 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP11000776 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 52674 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 27565 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | D166143 (Iowa) | Primary |
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. Ernest Jay Gross allows following entities to bill medicare on his behalf.
| Entity Name | University Of Alabama Health Services Foundation, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
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| Entity Name | Huntsville Anesthesiology Consultants Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073661492 PECOS PAC ID: 0749171262 Enrollment ID: O20040323001826 |
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| Entity Name | Southern Alabama Surgery Center Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767 |
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| Entity Name | Dothan Anesthesiology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013997857 PECOS PAC ID: 2769417583 Enrollment ID: O20050929001368 |
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| Entity Name | Epix Anesthesia Of Alabama Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459 |
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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. Ernest Jay Gross 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 |
Ernest Jay Gross, CRNA 206 Locust St, Providence, KY 42450-1514 Ph: (205) 919-0863 | Ernest Jay Gross, CRNA 206 Locust St, Providence, KY 42450-1514 Ph: (205) 919-0863 |
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