Marlin Lee Jolly, - Medicare Certified Registered Nurse Anesthetist (crna) in Tacoma, WA

Marlin Lee Jolly, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tacoma, Washington. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Arkansas Professional Corporation and his current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-1110.

Marlin Lee Jolly is licensed to practice in Arkansas (license number C003250) 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 1174000913.

Contact Information

Marlin Lee Jolly,
9040 Jackson Ave,
Tacoma, WA 98431-0001
(253) 968-1110
Not Available



Provider's Profile

Full NameMarlin Lee Jolly
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location9040 Jackson Ave, Tacoma, Washington
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:
  • Marlin Lee Jolly graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1174000913
  • Provider Enumeration Date: 07/24/2018
  • Last Update Date: 07/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5698180453
  • Enrollment ID: I20210916000727

Medical Identifiers

Medical identifiers for Marlin Lee Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174000913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered C003250 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington Regional Medical CenterFayetteville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Anesthesia Of Arkansas Professional Corporation640607746051

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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. Marlin Lee Jolly allows following entities to bill medicare on his behalf.
Entity NamePremier Anesthesia Of Arkansas Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932519485
PECOS PAC ID: 6406077460
Enrollment ID: O20141016002060

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Entity NameCapital Anesthesia Solutions Of Arkansas, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174125876
PECOS PAC ID: 5395159313
Enrollment ID: O20210202001530

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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. Marlin Lee Jolly 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
Marlin Lee Jolly,
9040 Jackson Ave,
Tacoma, WA 98431-0001

Ph: () -
Marlin Lee Jolly,
9040 Jackson Ave,
Tacoma, WA 98431-0001

Ph: (253) 968-1110

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Nurse Anesthetist, Certified Registered Nurses in Tacoma, WA

Janet Jones Sims, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2252    
Michael John Means, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2235    
Matthew Libid, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 203-768-5053    
Mrs. Elizabeth Katherine Mary Pulatie, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 9040 A Reid St, Tacoma, WA 98431
Phone: 253-968-1110    
Ms. Lisa Ann Petty, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2252    Fax: 253-968-3278
Mr. Andrey Bobrovnikov, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1717 S J St, Tacoma, WA 98405
Phone: 253-426-6341    Fax: 253-426-6344
Craig Andrew Swank, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405
Phone: 253-503-2598    Fax: 253-404-0506

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