| Jacob Deemer, | |
|
1649 Nature Dr, Grove City, OH 43123-8145 | |
| (724) 809-1042 | |
| Not Available |
| Full Name | Jacob Deemer |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1649 Nature Dr, Grove City, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821671777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0020368 (Ohio) | Primary |
| 163WE0003X | Registered Nurse - Emergency | 427680 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital | Columbus, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Broad Anesthesia, Inc. | 1355243148 | 18 |
| Entity Name | Mercy Anesthesiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427165570 PECOS PAC ID: 9537063789 Enrollment ID: O20031120000572 |
| Entity Name | West Broad Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821097361 PECOS PAC ID: 1355243148 Enrollment ID: O20040122000729 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Deemer, 1649 Nature Dr, Grove City, OH 43123-8145 Ph: (724) 809-1042 | Jacob Deemer, 1649 Nature Dr, Grove City, OH 43123-8145 Ph: (724) 809-1042 |
Clayton Roush, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2977 Orders Rd, Grove City, OH 43123 Phone: 304-593-8209 | |
Randall Kinietz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5300 N Meadows Dr, Grove City, OH 43123 Phone: 614-663-5000 |