Jacob Shane Sellers, in Huntington, WV - Medicare Nurse Anesthetist, Certified Registered

Jacob Shane Sellers, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Huntington, West Virginia. His current practice location is 1024 Euclid Pl, Huntington, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 942-2344.

Jacob Shane Sellers is licensed to practice in West Virginia (license number 103379) 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 1760122303.

Contact Information

	Jacob Shane Sellers,
	1024 Euclid Pl, Huntington, WV 25701-3536
	(304) 942-2344
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Shane Sellers
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1024 Euclid Pl, Huntington, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760122303
Provider Enumeration Date: 03/31/2022
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 9133665938
Enrollment ID: I20240729000266

Medical Identifiers

Medical identifiers for Jacob Shane Sellers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760122303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	103379 (West Virginia)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Shane Sellers allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of West Virginia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322

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 Shane Sellers 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 Shane Sellers, 1024 Euclid Pl, Huntington, WV 25701-3536 Ph: (304) 942-2344	Jacob Shane Sellers, 1024 Euclid Pl, Huntington, WV 25701-3536 Ph: (304) 942-2344

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Huntington, WV

Lora Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741
Cindy L Childers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 205-322-1808 Fax: 205-322-1851
Mr. William D Howell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Huntington, WV 25702 Phone: 304-526-1031
Lisa R Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-399-2960
Mrs. Carol Elaine Porter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Ave, Suite 6019, Huntington, WV 25702 Phone: 304-399-0137 Fax: 304-399-0138
Jamie H Vance, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 First Avenue, Huntington, WV 25702 Phone: 304-526-1234
Thressa Pemberton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-526-2000

Jacob Shane Sellers, - Medicare Nurse Anesthetist, Certified Registered in Huntington, WV