Jerry Antony Hadlock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Salem, UT

Jerry Antony Hadlock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salem, Utah. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Innovative Anesthesia Solutions Pllc and his current practice location is 684 E 320 S, Salem, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 615-3292.

Jerry Antony Hadlock is licensed to practice in Utah (license number 7091442-8900) 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 1487904298.

Contact Information

Jerry Antony Hadlock, CRNA
684 E 320 S,
Salem, UT 84653-8532
(801) 615-3292
Not Available



Provider's Profile

Full NameJerry Antony Hadlock
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location684 E 320 S, Salem, Utah
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:
  • Jerry Antony Hadlock graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1487904298
  • Provider Enumeration Date: 09/19/2012
  • Last Update Date: 09/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7911158852
  • Enrollment ID: I20121127000202

Medical Identifiers

Medical identifiers for Jerry Antony Hadlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487904298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 7091442-8900 (Utah)Primary
367500000XNurse Anesthetist, Certified Registered 7091442-4405 (Utah)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovative Anesthesia Solutions Pllc20628177605

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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. Jerry Antony Hadlock allows following entities to bill medicare on his behalf.
Entity NameMountain View Anesthesia Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043249840
PECOS PAC ID: 5991604829
Enrollment ID: O20040108000626

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Entity NameZion Eye Institute, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1831182799
PECOS PAC ID: 9931243409
Enrollment ID: O20100222000447

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Entity NameInnovative Anesthesia Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730766098
PECOS PAC ID: 2062817760
Enrollment ID: O20210818002306

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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. Jerry Antony Hadlock 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
Jerry Antony Hadlock, CRNA
684 E 320 S,
Salem, UT 84653-8532

Ph: (801) 615-3292
Jerry Antony Hadlock, CRNA
684 E 320 S,
Salem, UT 84653-8532

Ph: (801) 615-3292

News Archive

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Nurse Anesthetist, Certified Registered Nurses in Salem, UT


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