Karl Arn Jacobson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newport, Washington. His current practice location is
714 W Pine St, Newport, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 447-2441.
Karl Arn Jacobson is licensed to practice in Washington (license number AP30007570) 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 1548293459.
Provider's Profile
| Full Name | Karl Arn Jacobson |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 714 W Pine St, Newport, Washington |
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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: 1548293459
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 06/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 0143302836
- Enrollment ID: I20080204000303
Medical Identifiers
Medical identifiers for Karl Arn Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548293459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 052277 (Idaho) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30007570 (Washington) | 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. Karl Arn Jacobson allows following entities to bill medicare on his behalf.
| Entity Name | Pend Oreille County Public Hospital District No 1 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427264795
PECOS PAC ID: 3274431184
Enrollment ID: O20031230000017 |
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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. Karl Arn Jacobson 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 |
|---|
Karl Arn Jacobson, CRNA
714 W Pine St,
Newport, WA 99156-9046
Ph: (509) 447-2441 | Karl Arn Jacobson, CRNA
714 W Pine St,
Newport, WA 99156-9046
Ph: (509) 447-2441 |
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