Jacob Kirtley, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Richmond Heights, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Partners Ltd and his current practice location is
6420 Clayton Rd, Richmond Heights, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 768-8000.
Jacob Kirtley is licensed to practice in Missouri (license number 123786) 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 1568925048.
Provider's Profile
| Full Name | Jacob Kirtley |
|---|
| Gender | Male |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 12 Years |
|---|
| Location | 6420 Clayton Rd, Richmond Heights, Missouri |
|---|
| 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 Kirtley attended and graduated from University Of Missouri, Columbia School Of Medicine in 2012
NPI Data:
- NPI Number: 1568925048
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 04/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 9234472820
- Enrollment ID: I20190522003344
Medical Identifiers
Medical identifiers for Jacob Kirtley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568925048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 123786 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anesthesia Partners Ltd | 3870557986 | 45 |
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 Kirtley allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Partners Ltd |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043270465
PECOS PAC ID: 3870557986
Enrollment ID: O20041118000270 |
|---|
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 Kirtley 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 Kirtley,
7839 Navajoe St,
Saint Louis, MO 63123-2754
Ph: () - | Jacob Kirtley,
6420 Clayton Rd,
Richmond Heights, MO 63117-1811
Ph: (314) 768-8000 |
Reviews and Comments