Jacob Schrader, CRNA - Medicare Nurse Anesthetist, Certified Registered in Bolivar, MO

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Jacob Schrader, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bolivar, Missouri. His current practice location is 1500 N Oakland Ave, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 326-6000.

Jacob Schrader is licensed to practice in Missouri (license number 138671) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780314179.

Contact Information

Jacob Schrader, CRNA
1500 N Oakland Ave,
Bolivar, MO 65613-3011
(417) 326-6000
Not Available

Map and Direction




Provider's Profile

Full NameJacob Schrader
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1500 N Oakland Ave, Bolivar, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780314179
  • Provider Enumeration Date: 06/16/2022
  • Last Update Date: 06/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547631764
  • Enrollment ID: I20230126002701

Medical Identifiers

Medical identifiers for Jacob Schrader such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780314179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 138671 (Missouri)Primary

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 Schrader allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354
Entity NameMercy St Francis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023053477
PECOS PAC ID: 7810806643
Enrollment ID: O20040120000229
Entity NameMercy St Francis Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1023053477
PECOS PAC ID: 7810806643
Enrollment ID: O20061104000139
Entity NameCitizens Memorial Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558548818
PECOS PAC ID: 2769574433
Enrollment ID: O20070827000044

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 Schrader 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
Jacob Schrader, CRNA
4691 S Farm Road 213,
Rogersville, MO 65742-9266

Ph: (417) 224-7394		Jacob Schrader, CRNA
1500 N Oakland Ave,
Bolivar, MO 65613-3011

Ph: (417) 326-6000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bolivar, MO

Peter Mosca, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613
Phone: 660-826-5960    Fax: 660-826-4852
Jason Brooks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613
Phone: 417-777-6911    Fax: 660-826-4852
Rodney Hoover, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613
Phone: 660-826-5960    Fax: 660-826-4852

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.