Jacob Matthew Geldrich, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in La Vergne, Tennessee. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Hamblen Anesthesia Pc and his current practice location is
2127 Academy Way, La Vergne, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 680-6061.
Jacob Matthew Geldrich is licensed to practice in Tennessee (license number 0000014614) 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 1063742716.
Provider's Profile
| Full Name | Jacob Matthew Geldrich |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 15 Years |
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| Location | 2127 Academy Way, La Vergne, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob Matthew Geldrich graduated from nursing school in 2009
NPI Data:
- NPI Number: 1063742716
- Provider Enumeration Date: 12/31/2009
- Last Update Date: 02/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 0446387161
- Enrollment ID: I20100428000453
Medical Identifiers
Medical identifiers for Jacob Matthew Geldrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063742716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 0000014614 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hamblen Anesthesia Pc | 3476520875 | 11 |
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 Matthew Geldrich allows following entities to bill medicare on his behalf.
| Entity Name | Hamblen Anesthesia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821007485
PECOS PAC ID: 3476520875
Enrollment ID: O20040915000212 |
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| Entity Name | Knoxville Ophthalmology Asc, Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1013997915
PECOS PAC ID: 2668557232
Enrollment ID: O20080306000203 |
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| Entity Name | Knoxville Ophthalmology Asc, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568622413
PECOS PAC ID: 2668557232
Enrollment ID: O20080710000504 |
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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 Matthew Geldrich 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 Matthew Geldrich, CRNA
2127 Academy Way,
Lavergne, TN 37086-0000
Ph: (865) 680-6061 | Jacob Matthew Geldrich, CRNA
2127 Academy Way,
La Vergne, TN 37086-3821
Ph: (865) 680-6061 |
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