Mr Jerry W Gostnell Ii, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Polk, LA

Mr Jerry W Gostnell Ii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Polk, Louisiana. His current practice location is Bayne-jones Army Communicty Hospital, 1585 Third St, Fort Polk, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 531-3343.

Mr Jerry W Gostnell Ii is licensed to practice in Ohio (license number APRN.CRNA.0020337) 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 1700202900.

Contact Information

Mr Jerry W Gostnell Ii, CRNA
Bayne-jones Army Communicty Hospital, 1585 Third St,
Fort Polk, LA 71459
(337) 531-3343
Not Available



Provider's Profile

Full NameMr Jerry W Gostnell Ii
GenderMale
SpecialityNurse Anesthetist, Certified Registered
LocationBayne-jones Army Communicty Hospital, Fort Polk, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700202900
  • Provider Enumeration Date: 03/12/2014
  • Last Update Date: 02/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345614236
  • Enrollment ID: I20230315002533

Medical Identifiers

Medical identifiers for Mr Jerry W Gostnell Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700202900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 187722 (Georgia)Secondary
163W00000XRegistered Nurse 74288 (Hawaii)Secondary
367500000XNurse Anesthetist, Certified Registered APRN.CRNA.0020337 (Ohio)Primary

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 Jerry W Gostnell Ii allows following entities to bill medicare on his behalf.
Entity NameSouthwest Ohio Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588645188
PECOS PAC ID: 6901700640
Enrollment ID: O20031124000399

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› Verified 9 days ago

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 Jerry W Gostnell Ii 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 Jerry W Gostnell Ii, CRNA
369 J Bar Run,
Leesville, LA 71446-6465

Ph: (337) 509-5409
Mr Jerry W Gostnell Ii, CRNA
Bayne-jones Army Communicty Hospital, 1585 Third St,
Fort Polk, LA 71459

Ph: (337) 531-3343

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› Verified 9 days ago


Nurse Anesthetist, Certified Registered Nurses in Fort Polk, LA

Anthony Wendell Marcukaitis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1585 Third St, Fort Polk, LA 71459
Phone: 337-531-3517    
Molly Black,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1585 3rd St, Fort Polk, LA 71459
Phone: 210-862-9692    
Mr. Douglas Anthony Phillips, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1585 3rd St, Bayne Jones Army Community Hospital, Fort Polk, LA 71459
Phone: 337-531-3344    
Douglas Tortella, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1585 3rd St, Fort Polk, LA 71459
Phone: 337-531-3011    
Mr. Raymond James Devlin Iii, MSN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 16513 Howard St, Apt D, Fort Polk, LA 71459
Phone: 337-537-5375    
Marshall Glenister, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1585 3rd St, Fort Polk, LA 71459
Phone: 254-760-9499    
Travis Husser, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1585 3rd St, Fort Polk, LA 71459
Phone: 985-981-6455    

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