Jacob Paulk, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tifton, GA

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Jacob Paulk, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tifton, Georgia. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Coffee Regional Medical Center Inc and his current practice location is 901 18th St E, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 353-6124.

Jacob Paulk is licensed to practice in Georgia (license number RN181759) 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 1215227202.

Contact Information

Jacob Paulk, CRNA
901 18th St E,
Tifton, GA 31794-3648
(229) 353-6124
(229) 353-7722

Map and Direction




Provider's Profile

Full NameJacob Paulk
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location901 18th St E, Tifton, Georgia
Accepts Medicare AssignmentsYes. 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 Paulk graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1215227202
  • Provider Enumeration Date: 04/12/2011
  • Last Update Date: 12/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2062687312
  • Enrollment ID: I20111214000879

Medical Identifiers

Medical identifiers for Jacob Paulk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215227202NPI-NPPES
RN181759OtherGASTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN181759 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Coffee Regional Medical Center, IncDouglas, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coffee Regional Medical Center Inc458765601219

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 Paulk allows following entities to bill medicare on his behalf.
Entity NameCoffee Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437120946
PECOS PAC ID: 4587656012
Enrollment ID: O20040402000287
Entity NameSweet Dreams Nurse Anesthesia, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649463365
PECOS PAC ID: 5294823266
Enrollment ID: O20071109000111
Entity NameSweet Dreams Anesthesiology Nurses Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669737409
PECOS PAC ID: 0941456446
Enrollment ID: O20120816000621
Entity NameSouthern Sleepers Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720520646
PECOS PAC ID: 3870876469
Enrollment ID: O20170206000613

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 Paulk 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 AddressPractice Location Address
Jacob Paulk, CRNA
209 Tillman Paulk Rd,
Ambrose, GA 31512-3486

Ph: (229) 548-5137		Jacob Paulk, CRNA
901 18th St E,
Tifton, GA 31794-3648

Ph: (229) 353-6124

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tifton, GA

Cole Burgess, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-353-6124    Fax: 229-353-7722
Heath Farmer, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-353-6124    Fax: 229-353-7722
Brenda H. Warren, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-382-7120    
Brianna Emadi, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-382-7120    
Anna Driggers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-382-7120    
June Harper, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 901 18th St E, Tifton, GA 31794
Phone: 229-353-6208    Fax: 229-353-7722

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.