Jeffrey Manglicmot, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tyler, TX

Jeffrey Manglicmot, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mother Frances Hospital Regional Health Care Center and his current practice location is 800 E Dawson St, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 531-4522.

Jeffrey Manglicmot is licensed to practice in Texas (license number AP133234) 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 1043758162.

Contact Information

Jeffrey Manglicmot, CRNA
800 E Dawson St,
Tyler, TX 75701-2036
(903) 531-4522
Not Available



Provider's Profile

Full NameJeffrey Manglicmot
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location800 E Dawson St, Tyler, Texas
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:
  • Jeffrey Manglicmot graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1043758162
  • Provider Enumeration Date: 02/09/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587949557
  • Enrollment ID: I20170315000383

Medical Identifiers

Medical identifiers for Jeffrey Manglicmot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043758162NPI-NPPES
P01815493OtherTXMEDICARE RAIL ROAD
75-0818167-015OtherTXTRICARE
8671UPOtherTXBCBS
369478801MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP133234 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Mother Frances HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mother Frances Hospital Regional Health Care Center9234025636121

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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. Jeffrey Manglicmot allows following entities to bill medicare on his behalf.
Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042

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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. Jeffrey Manglicmot 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
Jeffrey Manglicmot, CRNA
Po Box 841656,
Dallas, TX 75284-1656

Ph: (903) 531-5000
Jeffrey Manglicmot, CRNA
800 E Dawson St,
Tyler, TX 75701-2036

Ph: (903) 531-4522

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Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

Mrs. Glenda R Sealey, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1424 East Front, Tyler, TX 75702
Phone: 903-595-4144    Fax: 903-596-7541
John Glynn Jeansonne, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Harold Richie Bandalan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey David Barker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-597-0351    
Gregory Mallett,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-606-4522    
Cara L Dewolfe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-593-8441    

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