Ms Terren Courtney Wortham, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Glendale, AZ

Ms Terren Courtney Wortham, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Glendale, Arizona. Her current practice location is 18701 N 67th Ave, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 561-1000.

Ms Terren Courtney Wortham is licensed to practice in Arizona (license number 265258) 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 1043795370.

Contact Information

Ms Terren Courtney Wortham, DNP, CRNA
18701 N 67th Ave,
Glendale, AZ 85308-7100
(623) 561-1000
Not Available



Provider's Profile

Full NameMs Terren Courtney Wortham
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location18701 N 67th Ave, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043795370
  • Provider Enumeration Date: 10/02/2018
  • Last Update Date: 11/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799022018
  • Enrollment ID: I20190124002520

Medical Identifiers

Medical identifiers for Ms Terren Courtney Wortham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043795370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 95000998 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 265258 (Arizona)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. Ms Terren Courtney Wortham allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892

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Entity NameAnesthesia Services Of San Joaquin Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366778227
PECOS PAC ID: 4082754056
Enrollment ID: O20091223000174

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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. Ms Terren Courtney Wortham 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
Ms Terren Courtney Wortham, DNP, CRNA
17685 W Golden Eye Ave,
Goodyear, AZ 85338-5847

Ph: (623) 217-7005
Ms Terren Courtney Wortham, DNP, CRNA
18701 N 67th Ave,
Glendale, AZ 85308-7100

Ph: (623) 561-1000

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› Verified 9 days ago


Nurse Anesthetist, Certified Registered Nurses in Glendale, AZ

Juan N Aliaga, DNP, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Jason Scott Herndon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Camarae Mikaela Mather, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 602-653-3012    
Stephen Patrick Standish, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5901 W Behrend Dr Apt 1155, Glendale, AZ 85308
Phone: 206-372-7032    
Kenneth Michael Bania,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Aaron Morrow, PHARMD
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 19410 N 68th Ave, Glendale, AZ 85308
Phone: 505-710-6292    

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