Jacob J Briscoe, CRNA in Galesburg, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Jacob J Briscoe, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Galesburg, Illinois. He graduated from nursing school in 2009 and has 15 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 Tennessee, Pllc and his current practice location is 3333 N Seminary St, Galesburg, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 344-3161.

Jacob J Briscoe is licensed to practice in Illinois (license number 209007627) 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 1972736551.

Contact Information

	Jacob J Briscoe, CRNA
	3333 N Seminary St, Galesburg, IL 61401-1251
	(309) 344-3161
	(309) 344-9498

Map and Direction

Provider's Profile

Full Name	Jacob J Briscoe
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	3333 N Seminary St, Galesburg, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob J Briscoe graduated from nursing school in 2009

NPI Data:

NPI Number: 1972736551
Provider Enumeration Date: 08/28/2009
Last Update Date: 06/08/2020

Medicare PECOS Information:

PECOS PAC ID: 0547316713
Enrollment ID: I20170811003030

Medical Identifiers

Medical identifiers for Jacob J Briscoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972736551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	041341872 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209007627 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dyersburg Regional Medical Center	Dyersburg, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Tennessee, Pllc	6608058086	9

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. Jacob J Briscoe allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Tennessee, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821390451 PECOS PAC ID: 6608058086 Enrollment ID: O20110307000153

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. Jacob J Briscoe 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
Jacob J Briscoe, CRNA 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-3161	Jacob J Briscoe, CRNA 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-3161

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Galesburg, IL

Patricia M Wilson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498
Ann Weik, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161
Timothy F Sullivan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-434-8131
Mr. Nicholas Becker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498
Jill D Whiteside, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498
Ryan James Bonham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-8131
Christine Fredrickson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161

Jacob J Briscoe, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Galesburg, IL