Mr Jacob Ivan Hartig, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grand Rapids, MI

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Mr Jacob Ivan Hartig, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grand Rapids, Michigan. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Dynamics Llc and his current practice location is 3333 Evergreen Dr Ne, Suite 100, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 364-4200.

Mr Jacob Ivan Hartig is licensed to practice in Michigan (license number 4704267093) 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 1992047039.

Contact Information

Mr Jacob Ivan Hartig, CRNA
3333 Evergreen Dr Ne, Suite 100,
Grand Rapids, MI 49525-9493
(616) 364-4200
(616) 364-7347

Map and Direction




Provider's Profile

Full NameMr Jacob Ivan Hartig
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location3333 Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jacob Ivan Hartig graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1992047039
  • Provider Enumeration Date: 03/26/2013
  • Last Update Date: 07/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3971746710
  • Enrollment ID: I20151207001417

Medical Identifiers

Medical identifiers for Mr Jacob Ivan Hartig such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992047039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704267093 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakewood Ranch Medical CenterBradenton, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Dynamics Llc3779832530379

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 Ivan Hartig allows following entities to bill medicare on his behalf.
Entity NameLakewood Ranch Anesthesia Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932157989
PECOS PAC ID: 9638074248
Enrollment ID: O20031205000181
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameSunbelt Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205172079
PECOS PAC ID: 9436392438
Enrollment ID: O20130823000172
Entity NameLakewood Ambulatory Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313733
PECOS PAC ID: 3678896354
Enrollment ID: O20150105001092
Entity NamePhysician Partners Of America Crna Operations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992129365
PECOS PAC ID: 8022239722
Enrollment ID: O20160421000842
Entity NameQuiescence Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942671805
PECOS PAC ID: 2567750359
Enrollment ID: O20161011001486
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117
Entity NamePremier Anesthesia Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790330694
PECOS PAC ID: 4385975556
Enrollment ID: O20191021000304

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 Ivan Hartig 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 AddressPractice Location Address
Mr Jacob Ivan Hartig, CRNA
3333 Evergreen Dr Ne, Suite 100,
Grand Rapids, MI 49525-9493

Ph: (616) 364-4200		Mr Jacob Ivan Hartig, CRNA
3333 Evergreen Dr Ne, Suite 100,
Grand Rapids, MI 49525-9493

Ph: (616) 364-4200

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Grand Rapids, MI

Anne Marie Talbot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503
Phone: 616-685-6063    Fax: 616-685-3092
Mrs. Lindsay E Mckelvey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Ms. Majerle Bunce, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Mrs. Heather M Montgomery-kanitz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Courtney Kolanowski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503
Phone: 616-685-5000    
Mr. Patrick James Evans, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-364-4200    Fax: 616-364-7347
Mr. Brent Zukoff, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 616-391-1774    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.