Dr Jacob Adam Poore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ft. Bliss, Texas. His current practice location is
18511 Highlander Medics Street, William Beaumont Army Medical Center, Ft. Bliss, Texas. You can reach out to his office (for appointments etc.) via phone at
(915) 569-3213.
Dr Jacob Adam Poore is licensed to practice in Missouri (license number 2024005892) 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 1598433245.
Provider's Profile
Full Name | Dr Jacob Adam Poore |
---|
Gender | Male |
---|
Speciality | Nurse Anesthetist, Certified Registered |
---|
Location | 18511 Highlander Medics Street, Ft. Bliss, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598433245
- Provider Enumeration Date: 08/30/2021
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072051424
- Enrollment ID: I20240815003132
Medical Identifiers
Medical identifiers for Dr Jacob Adam Poore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598433245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 134142 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2024005892 (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. Dr Jacob Adam Poore allows following entities to bill medicare on his behalf.
Entity Name | John Fitzgibbon Memorial Hospital Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1093731986 PECOS PAC ID: 2567351570 Enrollment ID: O20040315000980 |
---|
Entity Name | Carroll County Memorial Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
---|
Entity Name | Saint Lukes Hospital Of Chillicothe |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1245433127 PECOS PAC ID: 0143130393 Enrollment ID: O20041014000548 |
---|
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. Dr Jacob Adam Poore 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 |
Dr Jacob Adam Poore, CRNA 18511 Highlander Medics Street, Ft. Bliss, TX 79918 Ph: (915) 569-3213 | Dr Jacob Adam Poore, CRNA 18511 Highlander Medics Street, William Beaumont Army Medical Center, Ft. Bliss, TX 79918 Ph: (915) 569-3213 |
Reviews and Comments