Sally J Pendergrass, CRNA in Tulsa, OK - Medicare Certified Registered Nurse Anesthetist (crna)

Sally J Pendergrass, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tulsa, Oklahoma. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Olympia Anesthesia Plc and her current practice location is 1923 S Utica Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 744-2345.

Sally J Pendergrass is licensed to practice in Oklahoma (license number R0050582) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740427178.

Contact Information

	Sally J Pendergrass, CRNA
	1923 S Utica Ave, Tulsa, OK 74104-6520
	(918) 744-2345
	Not Available

Map and Direction

Provider's Profile

Full Name	Sally J Pendergrass
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	17 Years
Location	1923 S Utica Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sally J Pendergrass graduated from nursing school in 2008

NPI Data:

NPI Number: 1740427178
Provider Enumeration Date: 01/07/2009
Last Update Date: 08/25/2009

Medicare PECOS Information:

PECOS PAC ID: 7618032962
Enrollment ID: I20090219000568

Medical Identifiers

Medical identifiers for Sally J Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740427178	NPI	-	NPPES
200232940A	Medicaid	OK
P00731722	Other	OK	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R0050582 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tulsa Spine & Specialty Hospital	Tulsa, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Olympia Anesthesia Plc	5395767602	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. Sally J Pendergrass allows following entities to bill medicare on her behalf.

Entity Name	Olympia Anesthesia Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205841186 PECOS PAC ID: 5395767602 Enrollment ID: O20051230000221

Entity Name	St. John Anesthesia Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295

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. Sally J Pendergrass 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
Sally J Pendergrass, CRNA 4500 S Garnett Rd, Suite 300, Tulsa, OK 74146-5229 Ph: (918) 664-9892	Sally J Pendergrass, CRNA 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 744-2345

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tulsa, OK

Mrs. Ashley Dinkel Westerman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146 Phone: 918-392-1400
Dr. Samuel Shyam Adhikari, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612
Tara A Mccants, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362
Wendy A. Watkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-918-4150
Clinton Alsup, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 800-939-7440
Stan Allen Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 Fax: 918-481-5170
Christopher Thomas Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 Fax: 806-356-2939

Sally J Pendergrass, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tulsa, OK