Mr Jacob A Blough, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rittman, Ohio. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ohio Anesthesia Group, Inc and his current practice location is
63 Orchard Ave, Rittman, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 465-7384.
Mr Jacob A Blough is licensed to practice in Ohio (license number APRN.CRNA.0020166) 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 1861821191.
Provider's Profile
| Full Name | Mr Jacob A Blough |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 63 Orchard Ave, Rittman, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jacob A Blough graduated from nursing school in 2020
NPI Data:
- NPI Number: 1861821191
- Provider Enumeration Date: 11/07/2013
- Last Update Date: 09/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769892173
- Enrollment ID: I20201112003028
Medical Identifiers
Medical identifiers for Mr Jacob A Blough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861821191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC0200X | Registered Nurse - Critical Care Medicine | RN.410758 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0020166 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ohio Anesthesia Group, Inc | 9537222138 | 127 |
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. Mr Jacob A Blough allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Associates Of Wooster |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750320693
PECOS PAC ID: 7618937822
Enrollment ID: O20041012001571 |
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| Entity Name | Ohio Anesthesia Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639348113
PECOS PAC ID: 9537222138
Enrollment ID: O20090108000069 |
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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. Mr Jacob A Blough 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 |
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Mr Jacob A Blough, RN
63 Orchard Ave,
Rittman, OH 44270-1209
Ph: (330) 465-7384 | Mr Jacob A Blough, RN
63 Orchard Ave,
Rittman, OH 44270-1209
Ph: (330) 465-7384 |
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