Thomas Jakubczak, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI

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Thomas Jakubczak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. He graduated from nursing school in 1990 and has 34 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of Michigan Iii Pllc, Northstar Anesthesia Of Michigan Pllc and his current practice location is 3990 John R St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (952) 442-9770.

Thomas Jakubczak is licensed to practice in Michigan (license number 4704144957) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477561629.

Contact Information

Thomas Jakubczak, CRNA
3990 John R St,
Detroit, MI 48201-2018
(952) 442-9770
Not Available

Map and Direction




Provider's Profile

Full NameThomas Jakubczak
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience34 Years
Location3990 John R St, Detroit, Michigan
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas Jakubczak graduated from nursing school in 1990
  NPI Data:
  • NPI Number: 1477561629
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2961682224
  • Enrollment ID: I20110203001088

Medical Identifiers

Medical identifiers for Thomas Jakubczak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477561629NPI-NPPES
TJ144957OtherMIBLUE CROSS OF MI
104300794MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704144957 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Harper University HospitalDetroit, MIHospital
Karmanos Cancer CenterDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northstar Anesthesia Of Michigan Iii Pllc7911325469510
Northstar Anesthesia Of Michigan Pllc9638481591180

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. Thomas Jakubczak allows following entities to bill medicare on his behalf.
Entity NameNorthland Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386804060
PECOS PAC ID: 7719884741
Enrollment ID: O20040214000016
Entity NameAmbulatory Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952350555
PECOS PAC ID: 5092729020
Enrollment ID: O20060130000526
Entity NameSurgical Institute Of Michigan Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1811226244
PECOS PAC ID: 1557406071
Enrollment ID: O20100308000634
Entity NameUnited Pain Therapies Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427483403
PECOS PAC ID: 0446487029
Enrollment ID: O20131206000847
Entity NameNorthstar Anesthesia Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871986372
PECOS PAC ID: 9638481591
Enrollment ID: O20150707000070
Entity NamePsj Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275905796
PECOS PAC ID: 8325342488
Enrollment ID: O20160210000814
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Thomas Jakubczak 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
Thomas Jakubczak, CRNA
Po Box 67000, Dept 203401,
Detroit, MI 48267-0002

Ph: (952) 442-9770		Thomas Jakubczak, CRNA
3990 John R St,
Detroit, MI 48201-2018

Ph: (952) 442-9770

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-8521    
Caroline L Talbert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-7600    Fax: 952-442-3620
Kyle Krupa,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Lisa Zetuna,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Kurt Belen, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10814 Duprey St, Detroit, MI 48224
Phone: 313-410-1988    
Dr. Timothy Turner, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-8078    
Ms. Laura Lynn Rivera, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    

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.