Mr Dalton Blake Thames, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Altus, OK

Mr Dalton Blake Thames, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Altus, Oklahoma. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Jackson County Memorial Hospital Authority and his current practice location is 1200 E Pecan St, Altus, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 379-5000.

Mr Dalton Blake Thames is licensed to practice in Oklahoma (license number 128248) 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 1740797695.

Contact Information

Mr Dalton Blake Thames, CRNA
1200 E Pecan St,
Altus, OK 73521-6141
(580) 379-5000
Not Available



Provider's Profile

Full NameMr Dalton Blake Thames
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location1200 E Pecan St, Altus, Oklahoma
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:
  • Mr Dalton Blake Thames graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1740797695
  • Provider Enumeration Date: 01/01/2018
  • Last Update Date: 08/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698034619
  • Enrollment ID: I20180122000780

Medical Identifiers

Medical identifiers for Mr Dalton Blake Thames such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740797695NPI-NPPES
200747670AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 128248 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson County Memorial Hospital AuthorityAltus, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jackson County Memorial Hospital Authority175929317846

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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. Mr Dalton Blake Thames allows following entities to bill medicare on his behalf.
Entity NameJackson County Memorial Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763781
PECOS PAC ID: 1759293178
Enrollment ID: O20031104000406

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Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20190618003098

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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. Mr Dalton Blake Thames 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
Mr Dalton Blake Thames, CRNA
1412 Allyson Cir,
Altus, OK 73521-7138

Ph: (318) 344-3621
Mr Dalton Blake Thames, CRNA
1200 E Pecan St,
Altus, OK 73521-6141

Ph: (580) 379-5000

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Nurse Anesthetist, Certified Registered Nurses in Altus, OK

Mr. Michael Orlan Lockhart Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-379-5860    Fax: 580-379-5859
Frances Kay Christopher, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-482-4781    Fax: 580-481-2345
Jessica Lanae Poe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 803-795-8605    Fax: 580-379-5859
Mr. Mark Andrew Waterman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-379-5860    
Johnny J Sacco, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-379-5000    Fax: 580-379-5509
Amanda Jean Werneke, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-379-5860    Fax: 580-379-5859
Mark Vincent Vadney, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-482-4781    Fax: 580-481-2345

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