Jacob Brown, CRNA in Fort Wayne, IN - Medicare Nurse Anesthetist, Certified Registered

Jacob Brown, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. His current practice location is 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 436-7875.

Jacob Brown is licensed to practice in Indiana (license number 28223539A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144070442.

Contact Information

	Jacob Brown, CRNA
	10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912
	(260) 436-7875
	(260) 432-9812

Map and Direction

Provider's Profile

Full Name	Jacob Brown
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144070442
Provider Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2961844295
Enrollment ID: I20240531001179

Medical Identifiers

Medical identifiers for Jacob Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144070442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28223539C (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	28223539A (Indiana)	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. Jacob Brown allows following entities to bill medicare on his behalf.

Entity Name	Associated Anesthesiologists Of Fort Wayne, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538159140 PECOS PAC ID: 2264412444 Enrollment ID: O20040720001562

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. Jacob Brown 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
Jacob Brown, CRNA Po Box 843603, Dallas, TX 75284-3603 Ph: (972) 233-1999	Jacob Brown, CRNA 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 Ph: (260) 436-7875

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875

Jacob Brown, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Wayne, IN