Clinton Jeffery Hartman, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Usaf Academy, CO

Clinton Jeffery Hartman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Usaf Academy, Colorado. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Etas Pllc and his current practice location is 4102 Pinion Dr, 10th Mdg, Usaf Academy, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 333-5691.

Clinton Jeffery Hartman is licensed to practice in Mississippi (license number R861780) 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 1508044207.

Contact Information

Clinton Jeffery Hartman, CRNA
4102 Pinion Dr, 10th Mdg,
Usaf Academy, CO 80840-2502
(719) 333-5691
Not Available



Provider's Profile

Full NameClinton Jeffery Hartman
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location4102 Pinion Dr, Usaf Academy, Colorado
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:
  • Clinton Jeffery Hartman graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1508044207
  • Provider Enumeration Date: 02/05/2008
  • Last Update Date: 11/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0840488060
  • Enrollment ID: I20110103000481

Medical Identifiers

Medical identifiers for Clinton Jeffery Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508044207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R861780 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Etas Pllc812348193441

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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. Clinton Jeffery Hartman allows following entities to bill medicare on his behalf.
Entity NameGulf Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548696925
PECOS PAC ID: 8426286501
Enrollment ID: O20140117000585

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Entity NameEtas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679259360
PECOS PAC ID: 8123481934
Enrollment ID: O20230828000521

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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. Clinton Jeffery Hartman 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
Clinton Jeffery Hartman, CRNA
4714 Ponderosa Dr,
Usaf Academy, CO 80840-1233

Ph: (719) 203-6041
Clinton Jeffery Hartman, CRNA
4102 Pinion Dr, 10th Mdg,
Usaf Academy, CO 80840-2502

Ph: (719) 333-5691

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› Verified 3 days ago


Nurse Anesthetist, Certified Registered Nurses in Usaf Academy, CO

Russell Matthew Wolbers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840
Phone: 719-333-5651    
Lea Chien, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840
Phone: 719-333-5111    
Annette Susan Gablehouse, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840
Phone: 719-333-5961    
Dr. Lindsay B Howard, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840
Phone: 281-387-5169    
Stacey Alicia Vandyke, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840
Phone: 719-333-5651    
Mrs. Krista Lynn Christianson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4102 Pinion Dr, 10th Medical Group, Usaf Academy, CO 80840
Phone: 719-333-5691    

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