Timothy A Mudge, CRNA in Greenville, NC - Medicare Nurse Anesthetist, Certified Registered

Timothy A Mudge, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, North Carolina. His current practice location is 2080 W Arlington Blvd Ste B, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 752-2140.

Timothy A Mudge is licensed to practice in North Carolina (license number 035818) 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 1578603718.

Contact Information

	Timothy A Mudge, CRNA
	2080 W Arlington Blvd Ste B, Greenville, NC 27834-3770
	(252) 752-2140
	(252) 689-6502

Map and Direction

Provider's Profile

Full Name	Timothy A Mudge
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2080 W Arlington Blvd Ste B, Greenville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578603718
Provider Enumeration Date: 02/07/2007
Last Update Date: 10/11/2018

Medicare PECOS Information:

PECOS PAC ID: 0749298008
Enrollment ID: I20060328000423

Medical Identifiers

Medical identifiers for Timothy A Mudge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578603718	NPI	-	NPPES
1578603718	Other	NC	TRICARE
8050470	Medicaid	NC
P00343914	Other	NC	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	035818 (North Carolina)	Primary
163W00000X	Registered Nurse	074797 (North Carolina)	Secondary

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. Timothy A Mudge allows following entities to bill medicare on his behalf.

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

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. Timothy A Mudge 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
Timothy A Mudge, CRNA 2080 W Arlington Blvd Ste B, Greenville, NC 27834-3770 Ph: (252) 752-2140	Timothy A Mudge, CRNA 2080 W Arlington Blvd Ste B, Greenville, NC 27834-3770 Ph: (252) 752-2140

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Greenville, NC

Michael William Caputo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 Emerald Pl Ste 201, Greenville, NC 27834 Phone: 252-752-2140
Bethany Hardesty, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 W Arlington Blvd Ste B, 7th Floor, Greenville, NC 27834 Phone: 252-752-2140
Leah S Feyh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2430 Emerald Pl, Suite 201, Greenville, NC 27834 Phone: 252-752-2140 Fax: 252-752-3949
Ms. Suzanne Paschall Respess, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2430 Emerald Pl, Suite 201, Greenville, NC 27834 Phone: 252-752-2140 Fax: 252-752-8054
Andrew Michael Bolick, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2430 Emerald Pl Ste 201, Greenville, NC 27834 Phone: 252-752-2140
Andrea Hobgood Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2080 W Arlington Blvd Ste B, Greenville, NC 27834 Phone: 252-752-2140 Fax: 252-689-6502
Kay Aralyn Roberts, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2430 Emerald Pl Ste 201, Greenville, NC 27834 Phone: 252-752-2140

Timothy A Mudge, CRNA - Medicare Nurse Anesthetist, Certified Registered in Greenville, NC