Mr Tyler Blocker, CRNA in Jackson, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Tyler Blocker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Tennessee. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Willow Anesthesia Services, Llc and his current practice location is 620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 541-5000.

Mr Tyler Blocker is licensed to practice in Tennessee (license number 17863) 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 1205269305.

Contact Information

	Mr Tyler Blocker, CRNA
	620 Skyline Dr, Jackson, TN 38301-3923
	(731) 541-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tyler Blocker
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	620 Skyline Dr, Jackson, Tennessee
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 Tyler Blocker graduated from nursing school in 2013

NPI Data:

NPI Number: 1205269305
Provider Enumeration Date: 08/13/2013
Last Update Date: 05/24/2018

Medicare PECOS Information:

PECOS PAC ID: 9133363682
Enrollment ID: I20140505001470

Medical Identifiers

Medical identifiers for Mr Tyler Blocker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205269305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R879792 (Mississippi)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	17863 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Medical Center- Grenada	Grenada, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Willow Anesthesia Services, Llc	9234279183	34

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 Tyler Blocker allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711

Entity Name	Coleman Cataract And Eye Laser Surgery Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245480482 PECOS PAC ID: 5890863039 Enrollment ID: O20081001000480

Entity Name	Willow Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308

Entity Name	State Of Mississippi-university Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831520691 PECOS PAC ID: 1850293036 Enrollment ID: O20140305001658

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 Tyler Blocker 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 Tyler Blocker, CRNA 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119-0800 Ph: () -	Mr Tyler Blocker, CRNA 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jackson, TN

Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114

Mr Tyler Blocker, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, TN