Mr John Edward Dulaveris, CRNA in Texarkana, TX - Medicare Nurse Anesthetist, Certified Registered

Mr John Edward Dulaveris, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Texarkana, Texas. His current practice location is 6402 Lost Creek Dr, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (979) 557-1555.

Mr John Edward Dulaveris is licensed to practice in Texas (license number 599388) 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 1164496022.

Contact Information

	Mr John Edward Dulaveris, CRNA
	6402 Lost Creek Dr, Texarkana, TX 75503-0902
	(979) 557-1555
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr John Edward Dulaveris
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	6402 Lost Creek Dr, Texarkana, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164496022
Provider Enumeration Date: 02/15/2006
Last Update Date: 10/02/2014

Medicare PECOS Information:

PECOS PAC ID: 0143270595
Enrollment ID: I20050125000024

Medical Identifiers

Medical identifiers for Mr John Edward Dulaveris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164496022	NPI	-	NPPES
367500000X	Other	GA	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	599388 (Texas)	Primary
163W00000X	Registered Nurse	599388 (Texas)	Secondary

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 John Edward Dulaveris allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Anesthesia Billing Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488

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 John Edward Dulaveris 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 John Edward Dulaveris, CRNA 6402 Lost Creek Dr, Texarkana, TX 75503-0902 Ph: (979) 557-1555	Mr John Edward Dulaveris, CRNA 6402 Lost Creek Dr, Texarkana, TX 75503-0902 Ph: (979) 557-1555

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Texarkana, TX

Mr. Brandon Wiley, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
Richard Loeffler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-427-3851
Caleb Allen Bennett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 469-955-9423
Brent Willis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 203 La Grange Dr., Texarkana, TX 75501 Phone: 936-645-5428
Charles David Lummus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
John Matt Hester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806
Paul Mitchell James, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4100 Summerhill Rd, Texarkana, TX 75503 Phone: 903-735-9802 Fax: 903-735-9806

Mr John Edward Dulaveris, CRNA - Medicare Nurse Anesthetist, Certified Registered in Texarkana, TX