Mr Michael E Ault, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tomball, Texas. His current practice location is
605 Holderrieth Blvd, Tomball, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 880-8190.
Mr Michael E Ault is licensed to practice in Texas (license number 558297) 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 1154317196.
Provider's Profile
| Full Name | Mr Michael E Ault |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 605 Holderrieth Blvd, Tomball, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154317196
- Provider Enumeration Date: 09/26/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466342423
- Enrollment ID: I20040316000383
Medical Identifiers
Medical identifiers for Mr Michael E Ault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154317196 | NPI | - | NPPES |
| 048795 | Other | TX | RECERTIFICATION AANA |
| 83140H7 | Medicaid | TX | |
| 85386U | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 558297 (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 Michael E Ault allows following entities to bill medicare on his behalf.
| Entity Name | Northwest Anesthesiology & Pain Services, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629027511
PECOS PAC ID: 9638067408
Enrollment ID: O20040304001244 |
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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 Michael E Ault 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 Michael E Ault, CRNA
15610 Kellan Ct,
Cypress, TX 77429-6115
Ph: (281) 246-4462 | Mr Michael E Ault, CRNA
605 Holderrieth Blvd,
Tomball, TX 77375-6445
Ph: (281) 880-8190 |
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