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 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Memorial Hospital Of Carbon County 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 | 20 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. |
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: I20111025000899
Medical Identifiers
Medical identifiers for Mr Joseph Carroll Skinner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356325666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | RNA648A (Idaho) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Memorial Hospital Of Carbon County | 9638067176 | 18 |
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 | Memorial Hospital Of Carbon County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508900341 PECOS PAC ID: 9638067176 Enrollment ID: O20040308000403 |
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Entity Name | Frontier Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568815843 PECOS PAC ID: 6507147717 Enrollment ID: O20170503001594 |
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Entity Name | Cloud Peak Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467922468 PECOS PAC ID: 5092058925 Enrollment ID: O20190516002529 |
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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 |
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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