Cassidy B Waterman, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pocatello, ID

Cassidy B Waterman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pocatello, Idaho. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sei Anesthesia Pllc, Northstar Anesthesia Of Idaho Pllc and his current practice location is 1950 E Clark St, Suite G, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-7760.

Cassidy B Waterman is licensed to practice in Idaho (license number RNA-781) 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 1750691929.

Contact Information

Cassidy B Waterman, CRNA
1950 E Clark St, Suite G,
Pocatello, ID 83201-3314
(208) 232-7760
(208) 232-1950



Provider's Profile

Full NameCassidy B Waterman
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location1950 E Clark St, Pocatello, Idaho
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:
  • Cassidy B Waterman graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1750691929
  • Provider Enumeration Date: 10/20/2010
  • Last Update Date: 10/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042492670
  • Enrollment ID: I20110308000139

Medical Identifiers

Medical identifiers for Cassidy B Waterman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750691929NPI-NPPES
CD5673OtherIDRR GROUP LEGACY NUMBER
P00956855OtherINDIVIDUAL RR MEDICARE
1604930OtherIDMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RNA-781 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sei Anesthesia Pllc418384997922
Northstar Anesthesia Of Idaho Pllc620428385631

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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. Cassidy B Waterman allows following entities to bill medicare on his behalf.
Entity NameSei Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750701199
PECOS PAC ID: 4183849979
Enrollment ID: O20140711000736

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Entity NameNorthstar Anesthesia Of Idaho Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912686882
PECOS PAC ID: 6204283856
Enrollment ID: O20231103002037

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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. Cassidy B Waterman 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
Cassidy B Waterman, CRNA
777 Hospital Way,
Pocatello, ID 83201-5175

Ph: (208) 240-0735
Cassidy B Waterman, CRNA
1950 E Clark St, Suite G,
Pocatello, ID 83201-3314

Ph: (208) 232-7760

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Nurse Anesthetist, Certified Registered Nurses in Pocatello, ID

Mr. Timothy Morgan Naylor, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 285 Vista Dr, Pocatello, ID 83201
Phone: 208-478-1704    
Nicholas Stoddard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-232-7760    Fax: 208-232-1950
Mark Alan Pendleton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 082-391-0562    Fax: 208-239-3626
Jamie Leigh Cassinat, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-209-1000    
Eric Michael Stradley,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1000    
Richard Aaron Marler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 333 N 18th Ave, Bldg A, Pocatello, ID 83201
Phone: 208-233-8880    Fax: 208-232-1950
Mr. Kenneth Michael Knapp, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201
Phone: 208-232-7760    Fax: 208-232-1950

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