Jaclyn M Johanboeke, CRNA in Louisville, KY - Medicare Certified Registered Nurse Anesthetist (crna)

Jaclyn M Johanboeke, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Professional Anesthesia Services Of Kentucky Pllc and her current practice location is 10207 Springhurst Gardens Cir, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 548-3117.

Jaclyn M Johanboeke is licensed to practice in Kentucky (license number 1107361) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508176058.

Contact Information

	Jaclyn M Johanboeke, CRNA
	10207 Springhurst Gardens Cir, Louisville, KY 40241-5194
	(502) 548-3117
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn M Johanboeke
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	10207 Springhurst Gardens Cir, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn M Johanboeke graduated from nursing school in 2010

NPI Data:

NPI Number: 1508176058
Provider Enumeration Date: 10/18/2010
Last Update Date: 03/31/2012

Medicare PECOS Information:

PECOS PAC ID: 6800077272
Enrollment ID: I20110218000588

Medical Identifiers

Medical identifiers for Jaclyn M Johanboeke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508176058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1107361 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norton Hospitals, Inc	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Professional Anesthesia Services Of Kentucky Pllc	0244590305	146

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. Jaclyn M Johanboeke allows following entities to bill medicare on her behalf.

Entity Name	One Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174513246 PECOS PAC ID: 7113816174 Enrollment ID: O20040315001249

Entity Name	Universal Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164696282 PECOS PAC ID: 9830268341 Enrollment ID: O20080522000569

Entity Name	Professional Anesthesia Services Of Kentucky Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936

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. Jaclyn M Johanboeke 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 Address	Practice Location Address
Jaclyn M Johanboeke, CRNA 10207 Springhurst Gardens Cir, Louisville, KY 40241-5194 Ph: () -	Jaclyn M Johanboeke, CRNA 10207 Springhurst Gardens Cir, Louisville, KY 40241-5194 Ph: (502) 548-3117

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056

Jaclyn M Johanboeke, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Louisville, KY