William Tyler Higginbotham, CRNA in Tyler, TX - Medicare Nurse Anesthetist, Certified Registered

William Tyler Higginbotham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. His current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (318) 458-8643.

William Tyler Higginbotham is licensed to practice in Texas (license number 1148044) 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 1154199040.

Contact Information

	William Tyler Higginbotham, CRNA
	800 E Dawson St, Tyler, TX 75701-2036
	(318) 458-8643
	Not Available

Map and Direction

Provider's Profile

Full Name	William Tyler Higginbotham
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	800 E Dawson St, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154199040
Provider Enumeration Date: 12/19/2023
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 7012369606
Enrollment ID: I20240118004645

Medical Identifiers

Medical identifiers for William Tyler Higginbotham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154199040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1148044 (Texas)	Primary

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. William Tyler Higginbotham allows following entities to bill medicare on his behalf.

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

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. William Tyler Higginbotham 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
William Tyler Higginbotham, CRNA 244 Pilatus Dr, Shreveport, LA 71106-3428 Ph: (318) 458-8643	William Tyler Higginbotham, CRNA 800 E Dawson St, Tyler, TX 75701-2036 Ph: (318) 458-8643

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441

William Tyler Higginbotham, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tyler, TX