Phillip Conwell Jr, CRNA in Fort Bragg, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Phillip Conwell Jr, CRNA is a medicare enrolled "Registered Nurse" in Fort Bragg, California. He graduated from nursing school in 1986 and has 40 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Progressive Anesthesia Consultants Of California and his current practice location is 700 River Dr, Fort Bragg, California. You can reach out to his office (for appointments etc.) via phone at (707) 961-1234.

Phillip Conwell Jr is licensed to practice in California (license number RN405621) 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 1255540340.

Contact Information

	Phillip Conwell Jr, CRNA
	700 River Dr, Fort Bragg, CA 95437-5403
	(707) 961-1234
	Not Available

Map and Direction

Provider's Profile

Full Name	Phillip Conwell Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	40 Years
Location	700 River Dr, Fort Bragg, California
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:

Phillip Conwell Jr graduated from nursing school in 1986

NPI Data:

NPI Number: 1255540340
Provider Enumeration Date: 05/22/2007
Last Update Date: 03/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4789625898
Enrollment ID: I20050519000177

Medical Identifiers

Medical identifiers for Phillip Conwell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255540340	NPI	-	NPPES
1064	Other	CA	CALIFORNIA BOARD OF REGISTERED NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN405621 (California)	Primary
367500000X	Nurse Anesthetist, Certified Registered	1064 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mendocino Coast District Hospital	Fort bragg, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Progressive Anesthesia Consultants Of California	5395073803	13

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. Phillip Conwell Jr allows following entities to bill medicare on his behalf.

Entity Name	John A Kermen
Entity Type	Practitioner - Anesthesiology
Entity Identifiers	NPI Number: 1306896428 PECOS PAC ID: 4385670629 Enrollment ID: I20050708000779

Entity Name	Progressive Anesthesia Consultants Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558925610 PECOS PAC ID: 5395073803 Enrollment ID: O20190821004585

Entity Name	Adventist Health Mendocino Coast
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667

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. Phillip Conwell 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
Phillip Conwell Jr, CRNA Po Box 937, Mendocino, CA 95460-0937 Ph: (707) 813-7639	Phillip Conwell Jr, CRNA 700 River Dr, Fort Bragg, CA 95437-5403 Ph: (707) 961-1234

Reviews and Comments

Registered Nurse Nurses in Fort Bragg, CA

Melinda Regan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 721 River Dr Ste A, Fort Bragg, CA 95437 Phone: 707-961-4631
Maureen Smyth, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1025 E Chestnut St, Fort Bragg, CA 95437 Phone: 978-360-2505
Nina Larsen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 River Dr, Fort Bragg, CA 95437 Phone: 707-961-1234
Jennifer Salyer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 855 Sequoia Cir, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722
Ms. Jenna Rose Breton, NPF Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 855 Sequoia Cir, Fort Bragg, CA 95437 Phone: 707-964-1251
John Clarendon Worthington, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 Cypress St, Fort Bragg, CA 95437 Phone: 707-472-0350

Phillip Conwell Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Bragg, CA