Mr William C Whitacre, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, OR

  1. Home
  2. Nurse Anesthetist - CR
  3. OR
  4. Portland
Mr William C Whitacre, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. He graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Adams County Memorial Hospital, Cameron Memorial Community Hospital Inc and his current practice location is 6400 Se Lake Rd Ste 130, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 594-1774.

Mr William C Whitacre is licensed to practice in Oregon (license number 201260035CRNA) 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 1588635635.

Contact Information

Mr William C Whitacre, CRNA
6400 Se Lake Rd Ste 130,
Portland, OR 97222-2129
(503) 594-1774
(503) 594-1775

Map and Direction




Provider's Profile

Full NameMr William C Whitacre
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location6400 Se Lake Rd Ste 130, Portland, Oregon
Accepts Medicare AssignmentsYes. 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 William C Whitacre graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1588635635
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 11/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143312512
  • Enrollment ID: I20211007001222

Medical Identifiers

Medical identifiers for Mr William C Whitacre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588635635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28267047A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 201260035CRNA (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adams Memorial HospitalDecatur, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adams County Memorial Hospital094119825376
Cameron Memorial Community Hospital Inc923402083574

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 William C Whitacre allows following entities to bill medicare on his behalf.
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023844693
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724
Entity NameThe South Bend Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439
Entity NameAssociated Anesthesiologists Of Fort Wayne Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538159140
PECOS PAC ID: 2264412444
Enrollment ID: O20040720001562
Entity NameAdams County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689696148
PECOS PAC ID: 0941198253
Enrollment ID: O20041001000326
Entity NameSda Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336605500
PECOS PAC ID: 3870825912
Enrollment ID: O20210819003335
Entity NameIceland Anesthesia Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912578667
PECOS PAC ID: 7618372996
Enrollment ID: O20210825000860
Entity NameJebs Anesthesia Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790447761
PECOS PAC ID: 4486046646
Enrollment ID: O20220120000233
Entity NameAas Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831827021
PECOS PAC ID: 4688045115
Enrollment ID: O20230120001025

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 William C Whitacre 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 AddressPractice Location Address
Mr William C Whitacre, CRNA
Cmr 402 Box 1852,
Apo, AE 09180-0019

Ph: (011) 491-728253813		Mr William C Whitacre, CRNA
6400 Se Lake Rd Ste 130,
Portland, OR 97222-2129

Ph: (503) 594-1774

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 503-216-1234    
Cecilia Bradford, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4805 Ne Glisan St, Portland, OR 97213
Phone: 503-215-1111    
Trevor Sawyer,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-7725    
Ms. Bonnie Helen O'hara, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 503-216-3321    
Amber Fromwiller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8311    
Ms. Gwendolyn M Keyt, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239
Phone: 503-494-7641    Fax: 503-418-0884
Daniel Hainley,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-7641    Fax: 503-494-4661

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.