Christopher Thomas Jacob, STUDENT - Medicare Certified Registered Nurse Anesthetist (crna) in Tavares, FL

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Christopher Thomas Jacob, STUDENT is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tavares, Florida. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Us Anesthesia Partners Of Florida Inc and his current practice location is 1000 Waterman Way, Tavares, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 253-3333.

Christopher Thomas Jacob is licensed to practice in Florida (license number APRN11006614) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396388674.

Contact Information

Christopher Thomas Jacob, STUDENT
1000 Waterman Way,
Tavares, FL 32778-5266
(352) 253-3333
Not Available

Map and Direction




Provider's Profile

Full NameChristopher Thomas Jacob
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location1000 Waterman Way, Tavares, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christopher Thomas Jacob graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1396388674
  • Provider Enumeration Date: 10/19/2019
  • Last Update Date: 04/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406286988
  • Enrollment ID: I20200424000026

Medical Identifiers

Medical identifiers for Christopher Thomas Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396388674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN11006614 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth WatermanTavares, FLHospital
Adventhealth OrlandoOrlando, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Us Anesthesia Partners Of Florida Inc0345143152777

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. Christopher Thomas Jacob allows following entities to bill medicare on his behalf.
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameAms National Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316330830
PECOS PAC ID: 3870813025
Enrollment ID: O20150529000613
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

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. Christopher Thomas Jacob 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
Christopher Thomas Jacob, STUDENT
812 Handsome Cab Ln Apt 104,
Melbourne, FL 32940-8252

Ph: (407) 375-7856		Christopher Thomas Jacob, STUDENT
1000 Waterman Way,
Tavares, FL 32778-5266

Ph: (352) 253-3333

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tavares, FL

Aleen Joy Mcgowan,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 352-253-3333    
Sabine Cadet, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 352-253-3487    
Mr. Donald Keith Martino, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 352-253-3333    Fax: 352-589-3487
Grant Barry Mcgee, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 352-253-3333    
Jezaira Vargas, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 407-667-0444    Fax: 407-667-4338
Krista Holder,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 407-667-0444    
Angelina Gallagher, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Waterman Way, Tavares, FL 32778
Phone: 352-253-3333    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.