Mr Grover Scott Cruise, CRNA in Hattiesburg, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Grover Scott Cruise, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. He graduated from nursing school in 1999 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Hattiesburg Clinic Pa and his current practice location is 125 S 12th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 310-4509.

Mr Grover Scott Cruise is licensed to practice in Mississippi (license number R847413) 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 1720043219.

Contact Information

	Mr Grover Scott Cruise, CRNA
	125 S 12th Ave, Hattiesburg, MS 39401-6106
	(601) 310-4509
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Grover Scott Cruise
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	26 Years
Location	125 S 12th Ave, Hattiesburg, Mississippi
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 Grover Scott Cruise graduated from nursing school in 1999

NPI Data:

NPI Number: 1720043219
Provider Enumeration Date: 04/19/2006
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1254376213
Enrollment ID: I20050621001041

Medical Identifiers

Medical identifiers for Mr Grover Scott Cruise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720043219	NPI	-	NPPES
00121803	Medicaid	MS
2116461	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R847413 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic Pa	5193706794	492

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 Grover Scott Cruise allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20191228000191

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 Grover Scott Cruise 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 Grover Scott Cruise, CRNA Po Box 2295, Asheville, NC 28802-2295 Ph: (828) 398-5244	Mr Grover Scott Cruise, CRNA 125 S 12th Ave, Hattiesburg, MS 39401-6106 Ph: (601) 310-4509

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166

Mr Grover Scott Cruise, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS