Mr Jerry W Gostnell Ii, CRNA in Fort Polk, LA - Medicare Nurse Anesthetist, Certified Registered

Mr Jerry W Gostnell Ii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Polk, Louisiana. His current practice location is Bayne-jones Army Communicty Hospital, 1585 Third St, Fort Polk, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 531-3343.

Mr Jerry W Gostnell Ii is licensed to practice in Ohio (license number APRN.CRNA.0020337) 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 1700202900.

Contact Information

	Mr Jerry W Gostnell Ii, CRNA
	Bayne-jones Army Communicty Hospital, 1585 Third St, Fort Polk, LA 71459
	(337) 531-3343
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jerry W Gostnell Ii
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	Bayne-jones Army Communicty Hospital, Fort Polk, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700202900
Provider Enumeration Date: 03/12/2014
Last Update Date: 02/03/2023

Medicare PECOS Information:

PECOS PAC ID: 0345614236
Enrollment ID: I20230315002533

Medical Identifiers

Medical identifiers for Mr Jerry W Gostnell Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700202900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	187722 (Georgia)	Secondary
163W00000X	Registered Nurse	74288 (Hawaii)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN.CRNA.0020337 (Ohio)	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 W Gostnell Ii allows following entities to bill medicare on his behalf.

Entity Name	Southwest Ohio Anesthesia Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399

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 W Gostnell Ii 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 W Gostnell Ii, CRNA 369 J Bar Run, Leesville, LA 71446-6465 Ph: (337) 509-5409	Mr Jerry W Gostnell Ii, CRNA Bayne-jones Army Communicty Hospital, 1585 Third St, Fort Polk, LA 71459 Ph: (337) 531-3343

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Polk, LA

Anthony Wendell Marcukaitis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 Third St, Fort Polk, LA 71459 Phone: 337-531-3517
Molly Black, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 210-862-9692
Mr. Douglas Anthony Phillips, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Bayne Jones Army Community Hospital, Fort Polk, LA 71459 Phone: 337-531-3344
Douglas Tortella, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011
Mr. Raymond James Devlin Iii, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16513 Howard St, Apt D, Fort Polk, LA 71459 Phone: 337-537-5375
Marshall Glenister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 254-760-9499
Travis Husser, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 985-981-6455

Mr Jerry W Gostnell Ii, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Polk, LA