Mr Jeffrey Lee Jerde, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tomah, WI

Mr Jeffrey Lee Jerde, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tomah, Wisconsin. His current practice location is 501 Gopher Dr, Tomah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 372-2181.

Mr Jeffrey Lee Jerde is licensed to practice in Wisconsin (license number 81297-030) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780614941.

Contact Information

Mr Jeffrey Lee Jerde, CRNA
501 Gopher Dr,
Tomah, WI 54660-4513
(608) 372-2181
Not Available



Provider's Profile

Full NameMr Jeffrey Lee Jerde
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location501 Gopher Dr, Tomah, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780614941
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 01/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820092869
  • Enrollment ID: I20060906000510

Medical Identifiers

Medical identifiers for Mr Jeffrey Lee Jerde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780614941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R 172688-8 (Minnesota)Secondary
367500000XNurse Anesthetist, Certified Registered 81297-030 (Wisconsin)Primary
367500000XNurse Anesthetist, Certified Registered 149023 (Missouri)Secondary

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 Jeffrey Lee Jerde allows following entities to bill medicare on his behalf.
Entity NameBlack River Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20040303000688

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Entity NameTomah Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992970453
PECOS PAC ID: 6901897016
Enrollment ID: O20040519000123

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Entity NameUpland Hills Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821258740
PECOS PAC ID: 3072415553
Enrollment ID: O20081016000442

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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 Jeffrey Lee Jerde 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 Jeffrey Lee Jerde, CRNA
501 Gopher Dr,
Tomah, WI 54660-4513

Ph: (608) 372-2181
Mr Jeffrey Lee Jerde, CRNA
501 Gopher Dr,
Tomah, WI 54660-4513

Ph: (608) 372-2181

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› Verified 6 days ago


Nurse Anesthetist, Certified Registered Nurses in Tomah, WI

Kimberly Ann Tozer, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    
Cole B Dolan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    
Mr. David Roy Demask, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    
Daniel R Langan Ii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-697-4277    
Andrew Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 501 Gopher Dr, Tomah, WI 54660
Phone: 608-372-2181    

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