Mr Ethan Anson Simmons, CRNA in Birmingham, AL

Mr Ethan Anson Simmons, CRNA is a medicare enrolled "Registered Nurse" in Birmingham, Alabama. His current practice location is 800 Lakeshore Dr, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 726-2401.

Mr Ethan Anson Simmons is licensed to practice in Alabama (license number 1-169697) 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 1245905439.

Contact Information

	Mr Ethan Anson Simmons, CRNA
	800 Lakeshore Dr, Birmingham, AL 35229-0001
	(205) 726-2401
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ethan Anson Simmons
Gender	Male
Speciality	Registered Nurse
Location	800 Lakeshore Dr, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245905439
Provider Enumeration Date: 08/10/2021
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2668832668
Enrollment ID: I20230724000397

Medical Identifiers

Medical identifiers for Mr Ethan Anson Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245905439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	1-169697 (Alabama)	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. Mr Ethan Anson Simmons allows following entities to bill medicare on his behalf.

Entity Name	Tmc-west Georgia Anesthesia Associates Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647

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 Ethan Anson Simmons 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 Ethan Anson Simmons, CRNA 404 Pebble Creek Dr, Gardendale, AL 35071-2780 Ph: (205) 542-6373	Mr Ethan Anson Simmons, CRNA 800 Lakeshore Dr, Birmingham, AL 35229-0001 Ph: (205) 726-2401

Reviews and Comments

Registered Nurse Nurses in Birmingham, AL

Madison Thomas Hulker, WHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1700 6th Ave S, Birmingham, AL 35233 Phone: 205-934-3411
Shannon Marie Harrison, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-6050
Mrs. Leah York Richardson, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-242-8734
Tyler Bishop, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 256-490-6381
Emily Karanja, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 50 Medical Park Dr E, Birmingham, AL 35235 Phone: 205-838-3245
Emily Jane Bloom, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3419 Colonnade Pkwy Ste 600, Birmingham, AL 35243 Phone: 205-598-6800 Fax: 205-598-6700
Latasha Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 615 18th St S, Birmingham, AL 35233 Phone: 205-996-3050

Mr Ethan Anson Simmons, CRNA - Medicare Registered Nurse in Birmingham, AL