Jace Douglas Jacobsen, - Medicare Certified Registered Nurse Anesthetist (crna) in Huntington Beach, CA

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Jace Douglas Jacobsen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Huntington Beach, California. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Excelle Anesthesia Services Inc, Regional Anesthesia Associates Inc and his current practice location is 6442 Gloria Dr, Huntington Beach, California. You can reach out to his office (for appointments etc.) via phone at (805) 814-2463.

Jace Douglas Jacobsen is licensed to practice in California (license number 95001352) 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 1871116004.

Contact Information

Jace Douglas Jacobsen,
6442 Gloria Dr,
Huntington Beach, CA 92647-4226
(805) 814-2463
Not Available

Map and Direction




Provider's Profile

Full NameJace Douglas Jacobsen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location6442 Gloria Dr, Huntington Beach, California
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:
  • Jace Douglas Jacobsen graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1871116004
  • Provider Enumeration Date: 05/21/2020
  • Last Update Date: 10/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850790700
  • Enrollment ID: I20210525002643

Medical Identifiers

Medical identifiers for Jace Douglas Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871116004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 832119 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 95001352 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy HospitalBakersfield, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Excelle Anesthesia Services Inc468804677425
Regional Anesthesia Associates Inc781027509642

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. Jace Douglas Jacobsen allows following entities to bill medicare on his behalf.
Entity NameAssociated Anesthesiologists Of The Central Coast
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619963576
PECOS PAC ID: 5597665018
Enrollment ID: O20040112000097
Entity NamePremier Anesthesia Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609880947
PECOS PAC ID: 2860472917
Enrollment ID: O20040825001711
Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387
Entity NameMonterey Anesthesia Professionals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073935250
PECOS PAC ID: 6002047164
Enrollment ID: O20140402002486
Entity NameRegional Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811442874
PECOS PAC ID: 7810275096
Enrollment ID: O20161021001369
Entity NameOak Creek Anesthesia Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619589512
PECOS PAC ID: 9739509407
Enrollment ID: O20201019001247
Entity NameValley Regional Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578272415
PECOS PAC ID: 3870964323
Enrollment ID: O20230120001928
Entity NameExcelle Anesthesia Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689317208
PECOS PAC ID: 4688046774
Enrollment ID: O20230220000629

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. Jace Douglas Jacobsen 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
Jace Douglas Jacobsen,
6442 Gloria Dr,
Huntington Beach, CA 92647-4226

Ph: (805) 814-2463		Jace Douglas Jacobsen,
6442 Gloria Dr,
Huntington Beach, CA 92647-4226

Ph: (805) 814-2463

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Huntington Beach, CA

Mr. Mark Jupiter Pahed, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18819 Delaware St, Huntington Beach, CA 92648
Phone: 714-500-0050    
Mrs. Bernadette Leilani Simon Flowe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 503 16th St, Huntington Beach, CA 92648
Phone: 805-850-9547    Fax: 714-465-2035
Bridget Tracy, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7561 Quiet Cove Cir, Huntington Beach, CA 92648
Phone: 714-292-9297    

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.