Casey Jacobs, CRNA | |
746 Jefferson Ave, Scranton, PA 18510-1624 | |
(570) 348-7100 | |
Not Available |
Full Name | Casey Jacobs |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 746 Jefferson Ave, Scranton, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447202189 | NPI | - | NPPES |
2452895 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN636253 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy St Vincent Medical Center | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 355 |
Entity Name | Southwest Ohio Anesthesia Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
Entity Name | Southwest Anesthesia Services Psc, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188129 PECOS PAC ID: 3779483631 Enrollment ID: O20040109000000 |
Entity Name | Northstar Anesthesia Of Ohio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005 |
Mailing Address | Practice Location Address |
---|---|
Casey Jacobs, CRNA 3998 Fair Ridge Dr, Ste 300, Fairfax, VA 22033-2907 Ph: (703) 295-9360 | Casey Jacobs, CRNA 746 Jefferson Ave, Scranton, PA 18510-1624 Ph: (570) 348-7100 |
Andrea B Stachnick, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-348-7127 Fax: 570-340-4911 | |
Kaylene Sutkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8000 | |
Christopher Pisanchyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St., Scranton, PA 18510 Phone: 570-703-8259 | |
Alexander Keris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-340-2977 | |
Miss Stephanie Stivala, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-969-8000 | |
Mark Antonio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-346-7797 Fax: 570-342-9802 | |
Kevin Chernesky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-346-7797 Fax: 570-342-9802 |