Jacob L Lufkin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Montpelier, Idaho. His current practice location is
164 S 5th St, Montpelier, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 847-1630.
Jacob L Lufkin is licensed to practice in Idaho (license number 57248) 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 1457741167.
Provider's Profile
| Full Name | Jacob L Lufkin |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 164 S 5th St, Montpelier, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457741167
- Provider Enumeration Date: 02/02/2015
- Last Update Date: 03/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082931324
- Enrollment ID: I20220728001206
Medical Identifiers
Medical identifiers for Jacob L Lufkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457741167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 28219682A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 57248 (Idaho) | 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 L Lufkin allows following entities to bill medicare on his behalf.
| Entity Name | Franklin County Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548355811
PECOS PAC ID: 8820909104
Enrollment ID: O20070917000547 |
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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 L Lufkin 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 |
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Jacob L Lufkin, CRNA
123 Valley View Dr,
Montpelier, ID 83254-1529
Ph: (208) 604-5009 | Jacob L Lufkin, CRNA
164 S 5th St,
Montpelier, ID 83254-1597
Ph: (208) 847-1630 |
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