Jake Wyatt Forrester, BSN, RN in New York, NY - Medicare Nurse Anesthetist, Certified Registered

Jake Wyatt Forrester, BSN, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New York, New York. His current practice location is 649 9th Ave Apt 2a, New York, New York. You can reach out to his office (for appointments etc.) via phone at (864) 386-3767.

Jake Wyatt Forrester is licensed to practice in New York (license number 743979) 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 1346809456.

Contact Information

	Jake Wyatt Forrester, BSN, RN
	649 9th Ave Apt 2a, New York, NY 10036-3645
	(864) 386-3767
	Not Available

Map and Direction

Provider's Profile

Full Name	Jake Wyatt Forrester
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	649 9th Ave Apt 2a, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346809456
Provider Enumeration Date: 06/12/2019
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8729477799
Enrollment ID: I20211112000194

Medical Identifiers

Medical identifiers for Jake Wyatt Forrester such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346809456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	743979-1 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
367500000X	Nurse Anesthetist, Certified Registered	743979 (New York)	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. Jake Wyatt Forrester allows following entities to bill medicare on his behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569

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. Jake Wyatt Forrester 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
Jake Wyatt Forrester, BSN, RN 649 9th Ave Apt 2a, New York, NY 10036-3645 Ph: (864) 386-3767	Jake Wyatt Forrester, BSN, RN 649 9th Ave Apt 2a, New York, NY 10036-3645 Ph: (864) 386-3767

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in New York, NY

Steven Winnett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-2962
Egbert Clayton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813
Nora Zmuidins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813
Ms. Lynn Ann Reilly, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-2959
Lauren Peiffer Selame, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-2000
Sung Min Park, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5072
Amanda M L Reuter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5072

Jake Wyatt Forrester, BSN, RN - Medicare Nurse Anesthetist, Certified Registered in New York, NY