Loran C Jacobs Jr, CRNA in Payson, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Loran C Jacobs Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Payson, Arizona. He graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Tuba City Regional Health Care Corporation and his current practice location is 807 S Ponderosa St, Payson, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 273-6770.

Loran C Jacobs Jr is licensed to practice in Arizona (license number CRNA0562) 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 1144277575.

Contact Information

	Loran C Jacobs Jr, CRNA
	807 S Ponderosa St, Payson, AZ 85541-5542
	(602) 273-6770
	(602) 889-0483

Map and Direction

Provider's Profile

Full Name	Loran C Jacobs Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	32 Years
Location	807 S Ponderosa St, Payson, 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:

Loran C Jacobs Jr graduated from nursing school in 1992

NPI Data:

NPI Number: 1144277575
Provider Enumeration Date: 05/30/2006
Last Update Date: 04/27/2017

Medicare PECOS Information:

PECOS PAC ID: 5294813028
Enrollment ID: I20171229000167

Medical Identifiers

Medical identifiers for Loran C Jacobs Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144277575	NPI	-	NPPES
320385	Medicaid	AZ
4704149628	Other	MI	LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704149628 (Michigan)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN151239 (Arizona)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA0562 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tuba City Regional Health Care Corporation	Tuba city, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tuba City Regional Health Care Corporation	4284542531	124

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. Loran C Jacobs Jr allows following entities to bill medicare on his behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Loran C Jacobs Jr 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
Loran C Jacobs Jr, CRNA 5281 N 99th Ave, Ste 100, Glendale, AZ 85305-2209 Ph: (623) 241-6160	Loran C Jacobs Jr, CRNA 807 S Ponderosa St, Payson, AZ 85541-5542 Ph: (602) 273-6770

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Payson, AZ

Brooke Mcphee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-471-3222
Guy Caraffa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 602-273-6770 Fax: 602-889-0489
Kirt Rosenlof, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 602-273-6770 Fax: 602-889-0489
Mr. Jacob Troy Russell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-472-1273

Loran C Jacobs Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Payson, AZ