Glen Michael Cavalier, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Gulfport, MS

Glen Michael Cavalier, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gulfport, Mississippi. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Singing River Gulfport and his current practice location is 15200 Community Rd, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 575-7000.

Glen Michael Cavalier is licensed to practice in Mississippi (license number R875676) 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 1043288541.

Contact Information

Glen Michael Cavalier, CRNA
15200 Community Rd,
Gulfport, MS 39503-3085
(228) 575-7000
Not Available



Provider's Profile

Full NameGlen Michael Cavalier
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location15200 Community Rd, Gulfport, Mississippi
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:
  • Glen Michael Cavalier graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1043288541
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 09/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3274573357
  • Enrollment ID: I20080111000530

Medical Identifiers

Medical identifiers for Glen Michael Cavalier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043288541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28162301A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered R875676 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Garden Park Medical CenterGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Singing River Gulfport5294154829106

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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. Glen Michael Cavalier allows following entities to bill medicare on his behalf.
Entity NameLifelinc Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801021464
PECOS PAC ID: 0941347447
Enrollment ID: O20130522000277

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Entity NameSinging River Gulfport
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1780312504
PECOS PAC ID: 5294154829
Enrollment ID: O20230106000462

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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. Glen Michael Cavalier 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
Glen Michael Cavalier, CRNA
15190 Community Rd, Ste 230a,
Gulfport, MS 39503-3483

Ph: (228) 831-0204
Glen Michael Cavalier, CRNA
15200 Community Rd,
Gulfport, MS 39503-3085

Ph: (228) 575-7000

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Nurse Anesthetist, Certified Registered Nurses in Gulfport, MS

Kathryn Pittman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Jason Wells, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3281    Fax: 228-867-5117
Victor P Polito, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Glen Deitrick, C.R.N.A
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Julie K Klester, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 15190 Community Rd, Suite 230a, Gulfport, MS 39503
Phone: 228-831-0204    Fax: 228-831-1868
Trinh Thu Weatherly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    

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