Mr Jay Biesenthal, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in South Bend, IN

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Mr Jay Biesenthal, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Bend, Indiana. He graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice United Surgeons Llc, Saint Joseph Regional Medical Center-south Bend Campus Inc, Clinical Colleagues Inc, Australia Anesthesia Management Llc and his current practice location is 211 N Eddy St, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 234-8161.

Mr Jay Biesenthal is licensed to practice in Indiana (license number 28230243A) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1669471827.

Contact Information

Mr Jay Biesenthal, CRNA
211 N Eddy St,
South Bend, IN 46617-2808
(574) 234-8161
Not Available

Map and Direction




Provider's Profile

Full NameMr Jay Biesenthal
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience21 Years
Location211 N Eddy St, South Bend, Indiana
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jay Biesenthal graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1669471827
  • Provider Enumeration Date: 07/20/2005
  • Last Update Date: 06/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7113989823
  • Enrollment ID: I20160826000227

Medical Identifiers

Medical identifiers for Mr Jay Biesenthal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669471827NPI-NPPES
201384080MedicaidIN
8052067MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 127107 (North Carolina)Secondary
367500000XNurse Anesthetist, Certified Registered 28230243A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkview Huntington HospitalHuntington, INHospital
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Surgeons Llc094126006119
Saint Joseph Regional Medical Center-south Bend Campus Inc347645179069
Clinical Colleagues Inc8729011333148
Australia Anesthesia Management Llc943667186439

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 Jay Biesenthal allows following entities to bill medicare on his behalf.
Entity NameGreat Lakes Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039977
PECOS PAC ID: 0648183442
Enrollment ID: O20031107000452
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023844693
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724
Entity NameThe South Bend Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439
Entity NameStat Anesthesia Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699724781
PECOS PAC ID: 8123031473
Enrollment ID: O20070529000372
Entity NameUnited Surgeons Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518197011
PECOS PAC ID: 0941260061
Enrollment ID: O20110330000083
Entity NameClinical Colleagues Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992725766
PECOS PAC ID: 8729011333
Enrollment ID: O20181101000420
Entity NameAms Northern Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427619840
PECOS PAC ID: 8022444306
Enrollment ID: O20200205000244
Entity NameIceland Anesthesia Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912578667
PECOS PAC ID: 7618372996
Enrollment ID: O20210825000860
Entity NameJebs Anesthesia Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790447761
PECOS PAC ID: 4486046646
Enrollment ID: O20220120000233
Entity NameAustralia Anesthesia Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700601903
PECOS PAC ID: 9436671864
Enrollment ID: O20250314002290

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 Jay Biesenthal 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 AddressPractice Location Address
Mr Jay Biesenthal, CRNA
401 Charleston Dr,
Clayton, NC 27527-3950

Ph: (919) 553-4527		Mr Jay Biesenthal, CRNA
211 N Eddy St,
South Bend, IN 46617-2808

Ph: (574) 234-8161

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Bend, IN

Ms. Jamie Ann Davidson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1536 Crestwood Blvd, South Bend, IN 46635
Phone: 574-360-2619    
Joshua Stewart, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-234-8161    
Alvaro Andres Osorio,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Mrs. Julie Anne Addis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 53830 Generations Dr, South Bend, IN 46635
Phone: 574-271-0893    
Tyler Allen Rex,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 754-647-1000    
Janet Vardaman, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 17501 Generations Dr, South Bend, IN 46635
Phone: 574-234-0049    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.