Sherly C Jacob, CRNA in Troy, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Sherly C Jacob, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Troy, Michigan. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Eastside Group Llc, Northstar Anesthesia Of Michigan Iii Pllc and her current practice location is 44201 Dequindre Road, Troy, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 898-5000.

Sherly C Jacob is licensed to practice in Michigan (license number 4704210896) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1437108867.

Contact Information

	Sherly C Jacob, CRNA
	44201 Dequindre Road, Troy, MI 48085-1117
	(248) 898-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Sherly C Jacob
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	44201 Dequindre Road, Troy, Michigan
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sherly C Jacob graduated from nursing school in 2003

NPI Data:

NPI Number: 1437108867
Provider Enumeration Date: 05/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355331844
Enrollment ID: I20040517000342

Medical Identifiers

Medical identifiers for Sherly C Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437108867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704210896 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital, Troy	Troy, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eastside Group Llc	4486790219	23
Northstar Anesthesia Of Michigan Iii Pllc	7911325469	510

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. Sherly C Jacob allows following entities to bill medicare on her behalf.

Entity Name	William Beaumont Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217

Entity Name	Superior Anesthetists Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831144518 PECOS PAC ID: 5890784987 Enrollment ID: O20040512000785

Entity Name	Northwestern Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823

Entity Name	Eastside Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235365289 PECOS PAC ID: 4486790219 Enrollment ID: O20091008000624

Entity Name	Northstar Anesthesia Of Michigan Iii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990

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. Sherly C 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
Sherly C Jacob, CRNA 3601 W 13 Mile Road, 400 Fsc - Pcs, Royal Oak, MI 48073-6769 Ph: (248) 423-2481	Sherly C Jacob, CRNA 44201 Dequindre Road, Troy, MI 48085-1117 Ph: (248) 898-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Troy, MI

Darlene B Marsich-douglas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4550 Investment Dr, Suite 100, Troy, MI 48098 Phone: 248-265-4600
Evelyn Flynn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre, 400 Fsc - Pcs, Troy, MI 48085 Phone: 248-423-3144
Karl Thulin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Anesthesia, Troy, MI 48085 Phone: 248-577-3521
Denise Zeleny, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44201 Dequindre, 400 Fsc - Pcs, Troy, MI 48085 Phone: 248-423-3144
Andrea M Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3455 Livernois Rd, Troy, MI 48083 Phone: 248-619-2020
Kelly Carie, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44201 Dequindre, 400 Fsc - Pcs, Troy, MI 48085 Phone: 248-423-3144
Anna Marie Glaros, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-3000 Fax: 248-964-8448

Sherly C Jacob, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Troy, MI