Mr Joseph Carroll Skinner Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mountain Home Afb, Idaho. 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 Lifelinc Anesthesia Viii Pllc and his current practice location is
366 Mdos, Sgosa, 90 Hope Drive, Mountain Home Afb, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 828-7370.
Mr Joseph Carroll Skinner Jr is licensed to practice in Idaho (license number RNA648A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356325666.
Provider's Profile
| Full Name | Mr Joseph Carroll Skinner Jr |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 21 Years |
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| Location | 366 Mdos, Sgosa, Mountain Home Afb, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Joseph Carroll Skinner Jr graduated from nursing school in 2004
NPI Data:
- NPI Number: 1356325666
- Provider Enumeration Date: 11/30/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1052464872
- Enrollment ID: I20240820002057
Medical Identifiers
Medical identifiers for Mr Joseph Carroll Skinner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356325666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RNA648A (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lifelinc Anesthesia Viii Pllc | 3173984762 | 67 |
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 Joseph Carroll Skinner Jr allows following entities to bill medicare on his behalf.
| Entity Name | Lifelinc Anesthesia Viii Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679265052
PECOS PAC ID: 3173984762
Enrollment ID: O20230728002666 |
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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 Joseph Carroll Skinner Jr 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 |
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Mr Joseph Carroll Skinner Jr, CRNA
90 Hope Drive,
Mountain Home Afb, ID 83648
Ph: (208) 828-7768 | Mr Joseph Carroll Skinner Jr, CRNA
366 Mdos, Sgosa, 90 Hope Drive,
Mountain Home Afb, ID 83648
Ph: (208) 828-7370 |
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