Mr Jerry L Mixon, CRNA in Nacogdoches, TX - Medicare Nurse Anesthetist, Certified Registered

Mr Jerry L Mixon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Nacogdoches, Texas. His current practice location is 4920 Ne Stallings Dr, Nacogdoches, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 569-9481.

Mr Jerry L Mixon is licensed to practice in Texas (license number 227393) 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 1306945944.

Contact Information

	Mr Jerry L Mixon, CRNA
	4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254
	(936) 569-9481
	(936) 462-4333

Map and Direction

Provider's Profile

Full Name	Mr Jerry L Mixon
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4920 Ne Stallings Dr, Nacogdoches, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306945944
Provider Enumeration Date: 09/21/2006
Last Update Date: 03/02/2009

Medicare PECOS Information:

PECOS PAC ID: 0941387880
Enrollment ID: I20080402000861

Medical Identifiers

Medical identifiers for Mr Jerry L Mixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306945944	NPI	-	NPPES
088527903	Medicaid	TX
88693U	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	227393 (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 Jerry L Mixon allows following entities to bill medicare on his behalf.

Entity Name	The Center For Sight, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053494245 PECOS PAC ID: 0345137097 Enrollment ID: O20040228000122

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 Jerry L Mixon 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 Jerry L Mixon, CRNA Po Box 632114, Nacogdoches, TX 75963-2114 Ph: (936) 568-0087	Mr Jerry L Mixon, CRNA 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 Ph: (936) 569-9481

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Nacogdoches, TX

Ms. Nancy Joanne Batzloff, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 919 County Road 2131, Nacogdoches, TX 75965 Phone: 936-560-1338
Wallace D Womack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8525
Mr. Ronald Anthony Freeland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-564-4611
Mrs. Kendra Brooks Stockman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3610 N University Dr, Nacogdoches, TX 75965 Phone: 936-254-4703
Mr. James H. Newberg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8444
Mr. Gregory Scott Wallis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches, TX 75961 Phone: 936-568-8444

Mr Jerry L Mixon, CRNA - Medicare Nurse Anesthetist, Certified Registered in Nacogdoches, TX