Jerry T Metcalf, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Dekalb, Illinois. He graduated from medical school in 1994 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 Anesthesia Associates, Ltd and his current practice location is
1 Kish Hospital Dr, Dekalb, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 756-1521.
Jerry T Metcalf is licensed to practice in Illinois (license number 209002136) 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 1376545160.
Physician's Profile
| Full Name | Jerry T Metcalf |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 32 Years |
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| Location | 1 Kish Hospital Dr, Dekalb, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jerry T Metcalf graduated from medical school in 1994
NPI Data:
- NPI Number: 1376545160
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 12/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628259975
- Enrollment ID: I20110221000541
Medical Identifiers
Medical identifiers for Jerry T Metcalf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376545160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | 041-255087 (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 209-002136 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209002136 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anesthesia Associates, Ltd | 2961303425 | 48 |
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 T Metcalf allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Associates, Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952308223
PECOS PAC ID: 2961303425
Enrollment ID: O20040224000185 |
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| Entity Name | Valley Pain Care Centers, Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194722058
PECOS PAC ID: 7517858632
Enrollment ID: O20040320000066 |
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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 T Metcalf 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 |
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Jerry T Metcalf, CRNA
1 Kish Hospital Dr,
Dekalb, IL 60115-9602
Ph: (815) 756-1521 | Jerry T Metcalf, CRNA
1 Kish Hospital Dr,
Dekalb, IL 60115-9602
Ph: (815) 756-1521 |
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