Dr Jacob Adam Poore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ft. Bliss, TX

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Dr Jacob Adam Poore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ft. Bliss, Texas. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Carroll County Memorial Hospital, John Fitzgibbon Memorial Hospital Inc and 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 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 1598433245.

Contact Information

Dr Jacob Adam Poore, CRNA
18511 Highlander Medics Street, William Beaumont Army Medical Center,
Ft. Bliss, TX 79918
(915) 569-3213
Not Available

Map and Direction




Provider's Profile

Full NameDr Jacob Adam Poore
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location18511 Highlander Medics Street, Ft. Bliss, Texas
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:
  • Dr Jacob Adam Poore graduated from nursing school in 2021
  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.
IdentifierTypeStateIssuer
1598433245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 134142 (Washington)Secondary
367500000XNurse Anesthetist, Certified Registered 2024005892 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fitzgibbon HospitalMarshall, MOHospital
Carroll County Memorial HospitalCarrollton, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carroll County Memorial Hospital286048563864
John Fitzgibbon Memorial Hospital Inc256735157045

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 NameSaint Lukes Hospital of Chillicothe
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1912948308
PECOS PAC ID: 0143130393
Enrollment ID: O20030617000035
Entity NameJohn Fitzgibbon Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093731986
PECOS PAC ID: 2567351570
Enrollment ID: O20040315000980
Entity NameCarroll County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528067113
PECOS PAC ID: 2860485638
Enrollment ID: O20040407000120
Entity NameSaint Lukes Hospital of Chillicothe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245433127
PECOS PAC ID: 0143130393
Enrollment ID: O20041014000548
Entity NameSaint Luke's Hospital of Trenton
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1841274057
PECOS PAC ID: 3971495532
Enrollment ID: O20080814000103

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 AddressPractice 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



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.