Lisa Ann Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Havertown, PA

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Lisa Ann Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Havertown, Pennsylvania. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Einstein Practice Plan Inc and her current practice location is 2010 Old W Chester Pike, Suite 330, Havertown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 789-8070.

Lisa Ann Jackson is licensed to practice in Pennsylvania (license number 081637) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215174990.

Contact Information

Lisa Ann Jackson, CRNA
2010 Old W Chester Pike, Suite 330,
Havertown, PA 19083-2712
(610) 789-8070
(610) 789-9937

Map and Direction




Provider's Profile

Full NameLisa Ann Jackson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location2010 Old W Chester Pike, Havertown, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Ann Jackson graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1215174990
  • Provider Enumeration Date: 01/16/2009
  • Last Update Date: 01/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6608932017
  • Enrollment ID: I20090311000078

Medical Identifiers

Medical identifiers for Lisa Ann Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215174990NPI-NPPES
RN328670LOtherPARN LICENSE
081637OtherPAAANA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 081637 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Einstein Medical Center MontgomeryEast norriton, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Einstein Practice Plan Inc2769395896591

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. Lisa Ann Jackson allows following entities to bill medicare on her behalf.
Entity NameAssociates In Anesthesia, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942281191
PECOS PAC ID: 9335052034
Enrollment ID: O20031124000710
Entity NameEinstein Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760434468
PECOS PAC ID: 2769395896
Enrollment ID: O20040219000728
Entity NamePremier Anesthesia Of Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831493865
PECOS PAC ID: 2062696909
Enrollment ID: O20110418000548
Entity NameTemple Faculty Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623
Entity Name2bd Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457910150
PECOS PAC ID: 7517294705
Enrollment ID: O20190812000168

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. Lisa Ann Jackson 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
Lisa Ann Jackson, CRNA
Po Box 650782,
Dallas, TX 75265

Ph: (610) 789-8070		Lisa Ann Jackson, CRNA
2010 Old W Chester Pike, Suite 330,
Havertown, PA 19083-2712

Ph: (610) 789-8070

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Havertown, PA

Marylouise Caneda, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083
Phone: 610-789-8070    Fax: 610-789-9937
Jessica L Collins, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2010 Old West Chester Pike, Ste 330, Havertown, PA 19083
Phone: 610-789-8070    Fax: 610-789-9937
Alexander Matthew Pugliese, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2010 W Chester Pike, Suite 330, Havertown, PA 19083
Phone: 610-789-8070    Fax: 610-789-9937
Elizabeth J Shelly, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2010 Old West Chester Pike, Ste 337, Havertown, PA 19083
Phone: 610-789-8070    Fax: 610-789-9937
Russell Zehnacker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2010 Old West Chester Pike, Suite 330, Havertown, PA 19083
Phone: 610-789-8070    Fax: 610-789-9937
Kimberly Medwid, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2010 Old West Chester Pike, Havertown, PA 19083
Phone: 610-789-8070    

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.