Xavier Michael Tolliver, CRNA in Wilkes Barre, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Xavier Michael Tolliver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wilkes Barre, Pennsylvania. 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 Paragon Anesthesia Pc, Wellstar Medical Group Llc and his current practice location is 1000 E Mountain Dr, Wilkes Barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 808-7850.

Xavier Michael Tolliver is licensed to practice in Pennsylvania (license number RN239372) 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
	1000 E Mountain Dr, Wilkes Barre, PA 18711-0027
	(570) 808-7850
	(570) 808-7855

Map and Direction

Provider's Profile

Full Name	Xavier Michael Tolliver
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	1000 E Mountain Dr, Wilkes Barre, Pennsylvania
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:

Xavier Michael Tolliver graduated from nursing school in 2017

NPI Data:

NPI Number: 1881194116
Provider Enumeration Date: 02/13/2018
Last Update Date: 06/11/2026

Medicare PECOS Information:

PECOS PAC ID: 4981953965
Enrollment ID: I20250321000091

Medical Identifiers

Medical identifiers for Xavier Michael Tolliver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881194116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN239372 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Paragon Anesthesia Pc	8921044744	215
Wellstar Medical Group Llc	6709065402	3073

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 Name	Paragon Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626

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 Address	Practice Location Address
Xavier Michael Tolliver, CRNA 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-7850	Xavier Michael Tolliver, CRNA 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 Ph: (570) 808-7850

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Wilkes Barre, PA

Dr. Caroline L Raskiewicz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-552-3689 Fax: 570-552-3697
Kelsey L Mihal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111
Nicholas Morreale, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300
Ryan Williams, RN BSN MSN CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855
Wendy Kane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855
Lisa Hayes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 Fax: 570-208-5548
Vincent Cleveland David, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111

Xavier Michael Tolliver, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Wilkes Barre, PA