Michael D Jacob, CRNA in Indianapolis, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Michael D Jacob, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Indianapolis, Indiana. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northern Indiana Anesthesia Associates, Llc and his current practice location is 7150 Clearvista Drive, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 621-5890.

Michael D Jacob is licensed to practice in Indiana (license number 28181433A) 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 1508824905.

Contact Information

	Michael D Jacob, CRNA
	7150 Clearvista Drive, Indianapolis, IN 37043
	(317) 621-5890
	(317) 355-2205

Map and Direction

Provider's Profile

Full Name	Michael D Jacob
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	26 Years
Location	7150 Clearvista Drive, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael D Jacob graduated from nursing school in 1998

NPI Data:

NPI Number: 1508824905
Provider Enumeration Date: 05/03/2006
Last Update Date: 07/21/2015

Medicare PECOS Information:

PECOS PAC ID: 5991731390
Enrollment ID: I20090717000492

Medical Identifiers

Medical identifiers for Michael D Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508824905	NPI	-	NPPES
000000595410	Other	IN	ANTHEM
3628323	Medicaid	TN
200926510	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	103360 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	28181433A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Indiana Anesthesia Associates, Llc	6709234750	12

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. Michael D Jacob allows following entities to bill medicare on his behalf.

Entity Name	Regional Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912160334 PECOS PAC ID: 2062570252 Enrollment ID: O20081016000142

Entity Name	Anesthesia Care Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073899449 PECOS PAC ID: 6608042288 Enrollment ID: O20120103000455

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20191011000052

Entity Name	Northern Indiana Anesthesia Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033891510 PECOS PAC ID: 6709234750 Enrollment ID: O20231130003347

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. Michael D Jacob 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
Michael D Jacob, CRNA 6626 E 75th St, Indianapolis, IN 46250-2805 Ph: () -	Michael D Jacob, CRNA 7150 Clearvista Drive, Indianapolis, IN 37043 Ph: (317) 621-5890

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Indianapolis, IN

Robert Beyerlein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 Fax: 317-621-7884
Kyley Struck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890
Samantha L Dugan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-274-0275
John Patrick Haltom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-274-0275
Christy Mccrea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8051 S Emerson Ave Ste 150, Indianapolis, IN 46237 Phone: 317-865-2955 Fax: 317-865-2954
Dr. Sydney Ann Bramlett, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890
Michelo Andrew Chikonka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-4200

Michael D Jacob, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Indianapolis, IN