Jerry Jacob, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Rocky Point, NY

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Jerry Jacob, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Rocky Point, New York. He went to Columbia University College Of Physicians And Surgeons and graduated in 2014 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice North Shore - Lij Anesthesiology, Pc, Manhattan Medical Practice Pc and his current practice location is 333 Route 25a, Suite 225, Rocky Point, New York. You can reach out to his office (for appointments etc.) via phone at (631) 744-3671.

Jerry Jacob is licensed to practice in Florida (license number APRN9384865) 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 1538571799.

Contact Information

Jerry Jacob, CRNA
333 Route 25a, Suite 225,
Rocky Point, NY 11778-8556
(631) 744-3671
(631) 744-6205

Map and Direction




Physician's Profile

Full NameJerry Jacob
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location333 Route 25a, Rocky Point, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerry Jacob attended and graduated from Columbia University College Of Physicians And Surgeons in 2014
  NPI Data:
  • NPI Number: 1538571799
  • Provider Enumeration Date: 05/22/2014
  • Last Update Date: 05/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234452038
  • Enrollment ID: I20141231001850

Medical Identifiers

Medical identifiers for Jerry Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538571799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 573032 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered 105943 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered APRN9384865 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peconic Bay Medical CenterRiverhead, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Anesthesiology, Pc1153602453937
Manhattan Medical Practice Pc74161075609

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. Jerry Jacob allows following entities to bill medicare on his behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameLong Island Anesthesia Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952387276
PECOS PAC ID: 7113825381
Enrollment ID: O20040106000103
Entity NameUpstate Anesthesia Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629272141
PECOS PAC ID: 0840383857
Enrollment ID: O20070907000237
Entity NameNorth Shore - Lij Anesthesiology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498

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. Jerry Jacob 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
Jerry Jacob, CRNA
333 Route 25a, Suite 225,
Rocky Point, NY 11778-8556

Ph: (631) 744-3671		Jerry Jacob, CRNA
333 Route 25a, Suite 225,
Rocky Point, NY 11778-8556

Ph: (631) 744-3671

Reviews and Comments



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.