Jacob Payne Smith, CRNA in Flagstaff, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Jacob Payne Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Flagstaff, Arizona. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sidney Health Center, Community Hospital Of Anaconda, Northstar Anesthesia Pa and his current practice location is 77 W Forest Ave Ste 117, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 773-2505.

Jacob Payne Smith is licensed to practice in Arizona (license number 0940) 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 1275801870.

Contact Information

	Jacob Payne Smith, CRNA
	77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482
	(928) 773-2505
	(928) 773-2504

Map and Direction

Provider's Profile

Full Name	Jacob Payne Smith
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	77 W Forest Ave Ste 117, Flagstaff, Arizona
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 Payne Smith graduated from nursing school in 2011

NPI Data:

NPI Number: 1275801870
Provider Enumeration Date: 12/09/2011
Last Update Date: 09/24/2018

Medicare PECOS Information:

PECOS PAC ID: 9032377544
Enrollment ID: I20210607002978

Medical Identifiers

Medical identifiers for Jacob Payne Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275801870	NPI	-	NPPES
274331YPVE	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	203222 (Colorado)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	100091 (Colorado)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0940 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St David's Medical Center	Austin, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sidney Health Center	0749181535	63
Community Hospital Of Anaconda	8123938974	24
Northstar Anesthesia Pa	7315907128	290

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 Payne Smith allows following entities to bill medicare on his behalf.

Entity Name	Community Hospital Of Anaconda
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1205887924 PECOS PAC ID: 8123938974 Enrollment ID: O20030507000045

Entity Name	Community Hospital Of Anaconda
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538597703 PECOS PAC ID: 8123938974 Enrollment ID: O20031119000745

Entity Name	Sidney Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376617191 PECOS PAC ID: 0749181535 Enrollment ID: O20040115000513

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 Payne Smith 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 Payne Smith, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505	Jacob Payne Smith, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Flagstaff, AZ

Elizabeth Gilmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Jack Gilbert Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
Benjamin Henrie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Linda Allsop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
James Dean Bohn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
Elizabeth Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Tara Dupuy Herrero, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1840 N Jasper Dr Ste 1, Flagstaff, AZ 86001 Phone: 928-558-7001

Jacob Payne Smith, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Flagstaff, AZ