Mr Fred Thomas Hurst Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Petal, Mississippi. He graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Iu Anesthesiology Associates, Llc, The Curators Of The University Of Missouri and his current practice location is
68 Redfern Trl, Petal, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 310-6813.
Mr Fred Thomas Hurst Jr is licensed to practice in Indiana (license number 861818) 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 1841247954.
Provider's Profile
Full Name | Mr Fred Thomas Hurst Jr |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 31 Years |
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Location | 68 Redfern Trl, Petal, Mississippi |
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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:
- Mr Fred Thomas Hurst Jr graduated from nursing school in 1993
NPI Data:
- NPI Number: 1841247954
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 11/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618969015
- Enrollment ID: I20221207002695
Medical Identifiers
Medical identifiers for Mr Fred Thomas Hurst Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841247954 | NPI | - | NPPES |
4244301 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
1517906 | Medicaid | TN | |
PENDING | Medicaid | WV | |
00122661 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 2023035281 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | R861818 (Mississippi) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 861818 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Iu Anesthesiology Associates, Llc | 5395730303 | 148 |
The Curators Of The University Of Missouri | 4486759560 | 959 |
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 Fred Thomas Hurst Jr allows following entities to bill medicare on his behalf.
Entity Name | Iu Anesthesiology Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285684407 PECOS PAC ID: 5395730303 Enrollment ID: O20040419001228 |
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Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
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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. Mr Fred Thomas Hurst Jr 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 Fred Thomas Hurst Jr, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Mr Fred Thomas Hurst Jr, CRNA 68 Redfern Trl, Petal, MS 39465-9415 Ph: (601) 310-6813 |
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