Mrs Glenda R Sealey, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tyler, TX

Mrs Glenda R Sealey, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tyler, Texas. Her current practice location is 1424 East Front, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 595-4144.

Mrs Glenda R Sealey is licensed to practice in Texas (license number 436067) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023017290.

Contact Information

Mrs Glenda R Sealey, CRNA
1424 East Front,
Tyler, TX 75702-8501
(903) 595-4144
(903) 596-7541



Provider's Profile

Full NameMrs Glenda R Sealey
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1424 East Front, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023017290
  • Provider Enumeration Date: 07/19/2005
  • Last Update Date: 03/25/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5092776583
  • Enrollment ID: I20041019000604

Medical Identifiers

Medical identifiers for Mrs Glenda R Sealey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023017290NPI-NPPES
84116COtherTXBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 436067 (Texas)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. Mrs Glenda R Sealey allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Health Science Center At Tyler-facility-physician
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063400778
PECOS PAC ID: 4981699220
Enrollment ID: O20040416001048

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Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042

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Entity NameNorthstar Anesthesia Iii Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356968952
PECOS PAC ID: 0042630501
Enrollment ID: O20201022000080

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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. Mrs Glenda R Sealey 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
Mrs Glenda R Sealey, CRNA
Po Box 130639,
Tyler, TX 75713-0639

Ph: (903) 595-4144
Mrs Glenda R Sealey, CRNA
1424 East Front,
Tyler, TX 75702-8501

Ph: (903) 595-4144

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› Verified 2 days ago


Nurse Anesthetist, Certified Registered Nurses in Tyler, TX

John Glynn Jeansonne, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey Manglicmot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-531-4522    
Harold Richie Bandalan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-526-1068    Fax: 903-593-4290
Jeffrey David Barker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-597-0351    
Gregory Mallett,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-606-4522    
Cara L Dewolfe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-593-8441    

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