Mr Jason Tydlaska, CRNA in Dallas, TX - Medicare Nurse Anesthetist, Certified Registered

Mr Jason Tydlaska, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. His current practice location is 4509 Lemmon Ave, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 692-6500.

Mr Jason Tydlaska is licensed to practice in Texas (license number 630385) 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 1508838459.

Contact Information

	Mr Jason Tydlaska, CRNA
	4509 Lemmon Ave, Dallas, TX 75219-2145
	(214) 692-6500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jason Tydlaska
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4509 Lemmon Ave, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508838459
Provider Enumeration Date: 02/05/2006
Last Update Date: 07/28/2014

Medicare PECOS Information:

PECOS PAC ID: 6406839927
Enrollment ID: I20040608000034

Medical Identifiers

Medical identifiers for Mr Jason Tydlaska such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508838459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	630385 (Texas)	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 Jason Tydlaska allows following entities to bill medicare on his behalf.

Entity Name	Valiant Anesthesia Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588906812 PECOS PAC ID: 5092956243 Enrollment ID: O20130730000861

Entity Name	Lewis 360 Medical Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932509635 PECOS PAC ID: 2466674924 Enrollment ID: O20141118000457

Entity Name	Sound Physicians Anesthesiology Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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 Jason Tydlaska 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 Jason Tydlaska, CRNA 1832 Crooked Ln, Fort Worth, TX 76112-4509 Ph: (817) 496-0749	Mr Jason Tydlaska, CRNA 4509 Lemmon Ave, Dallas, TX 75219-2145 Ph: (214) 692-6500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dallas, TX

Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Abigail Pinto Wood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976

Mr Jason Tydlaska, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dallas, TX