Xavier Michael Tolliver, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Statesboro, GA

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Xavier Michael Tolliver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Statesboro, Georgia. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wellstar Medical Group Llc, Paragon Anesthesia Pc and his current practice location is 1704 Berkshire Ln, Statesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 678-0741.

Xavier Michael Tolliver is licensed to practice in Texas (license number 940902) 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 1881194116.

Contact Information

Xavier Michael Tolliver, CRNA
1704 Berkshire Ln,
Statesboro, GA 30461-0587
(912) 678-0741
Not Available

Map and Direction




Provider's Profile

Full NameXavier Michael Tolliver
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location1704 Berkshire Ln, Statesboro, Georgia
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:
  • Xavier Michael Tolliver graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1881194116
  • Provider Enumeration Date: 02/13/2018
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981953965
  • Enrollment ID: I20191029003532

Medical Identifiers

Medical identifiers for Xavier Michael Tolliver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881194116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN239372 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered RN239372 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered 940902 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Wellstar Kennestone HospitalMarietta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group Llc67090654022734
Paragon Anesthesia Pc8921044744198

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. Xavier Michael Tolliver allows following entities to bill medicare on his behalf.
Entity NameAmerican Anesthesiology Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442
Entity NameWellstar Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NamePiedmont Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700474244
PECOS PAC ID: 2163837972
Enrollment ID: O20210208002823

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. Xavier Michael Tolliver 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
Xavier Michael Tolliver, CRNA
1704 Berkshire Ln,
Statesboro, GA 30461-0587

Ph: (912) 678-0741		Xavier Michael Tolliver, CRNA
1704 Berkshire Ln,
Statesboro, GA 30461-0587

Ph: (912) 678-0741

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Statesboro, GA

Catherine A Landry-arseneault, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 912-486-1973    
Tagel Elizabeth Wilson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 912-486-1000    
Mr. Robert D Counts, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1499 Fair Rd, Statesboro, GA 30459
Phone: 912-486-1000    Fax: 912-871-2392
Trevor Weathersby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 912-486-1000    
David Derosso, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 704-662-5544    
Mr. James Robert Stockton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1499 Fair Rd, Statesboro, GA 30458
Phone: 912-681-1150    
Mark A Leszczynski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Fair Rd, Statesboro, GA 30458
Phone: 877-727-1960    Fax: 706-854-8454

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.