Ms Bernice C Jacobs, CRNA | |
6125 S Broadway, Lorain, OH 44053-3820 | |
(440) 233-8181 | |
(440) 233-8182 |
Full Name | Ms Bernice C Jacobs |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 6125 S Broadway, Lorain, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437142916 | NPI | - | NPPES |
2029996 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NA01928 (Ohio) | Primary |
163W00000X | Registered Nurse | RN185635 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Firelands Regional Medical Center | Sandusky, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohio Anesthesia Group, Inc | 9537222138 | 127 |
Entity Name | Premier Anesthesia Of Sandusky Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689668576 PECOS PAC ID: 8921087412 Enrollment ID: O20040719000057 |
Entity Name | Ohio Anesthesia Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
---|---|
Ms Bernice C Jacobs, CRNA Po Box 901681, Cleveland, OH 44190-1681 Ph: (440) 233-8181 | Ms Bernice C Jacobs, CRNA 6125 S Broadway, Lorain, OH 44053-3820 Ph: (440) 233-8181 |
William J Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-323-8515 | |
Safeta S Hagen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-323-8515 Fax: 440-323-7900 | |
Steven Lucius, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-323-8515 Fax: 440-323-7900 | |
Allison E Vargo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-960-4000 | |
Ms. Virginia A Stevenson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-323-8515 Fax: 440-323-7900 | |
Anne Wojdacz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4483 Oakhill Blvd, Lorain, OH 44053 Phone: 440-282-3358 | |
Carla J Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-323-8515 Fax: 440-323-7900 |