Jacob D Buckley, CRNA in Huntsville, AL - Medicare Certified Registered Nurse Anesthetist (crna)

Jacob D Buckley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Huntsville, Alabama. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Physynergy Llc and his current practice location is 1 Hospital Dr Sw, Huntsville, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 429-5074.

Jacob D Buckley is licensed to practice in Florida (license number ARNP9257640) 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 1598036865.

Contact Information

	Jacob D Buckley, CRNA
	1 Hospital Dr Sw, Huntsville, AL 35801-6455
	(256) 429-5074
	(256) 429-4674

Map and Direction

Provider's Profile

Full Name	Jacob D Buckley
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	1 Hospital Dr Sw, Huntsville, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob D Buckley graduated from nursing school in 2011

NPI Data:

NPI Number: 1598036865
Provider Enumeration Date: 01/19/2012
Last Update Date: 01/17/2013

Medicare PECOS Information:

PECOS PAC ID: 9032378138
Enrollment ID: I20121011000235

Medical Identifiers

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

Identifier	Type	State	Issuer
1598036865	NPI	-	NPPES
ARNP9257640	Other	FL	FL LICENSE
1-136658	Other	AL	ALABAMA CRNA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	ARNP9257640 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crestwood Medical Center	Huntsville, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physynergy Llc	6204081292	60

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 D Buckley allows following entities to bill medicare on his behalf.

Entity Name	Physynergy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456

Entity Name	Epix Anesthesia Of Alabama Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459

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 D Buckley 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 D Buckley, CRNA Po Box 52404, Lafayette, LA 70505-2404 Ph: (256) 429-5071	Jacob D Buckley, CRNA 1 Hospital Dr Sw, Huntsville, AL 35801-6455 Ph: (256) 429-5074

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Huntsville, AL

Jedidiah A Earls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Brian Alan Piazza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr Sw, Huntsville, AL 35801 Phone: 256-469-7895 Fax: 256-270-8937
Charlotte A Parker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 911 Big Cove Rd Se, Anesthesia Dept, Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Marlin Sean Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Terry D Wendell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Alan A Berard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Eric L Bryant, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 721 Madison St Se, Huntsville, AL 35801 Phone: 256-880-6711 Fax: 256-880-6712

Jacob D Buckley, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Huntsville, AL