Jacob Douglas Vermeer, - Medicare Nurse Anesthetist, Certified Registered in Maywood, IL

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Jacob Douglas Vermeer, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maywood, Illinois. His current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 216-9000.

Jacob Douglas Vermeer is licensed to practice in Illinois (license number 209030380) 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 1679218721.

Contact Information

Jacob Douglas Vermeer,
2160 S 1st Ave,
Maywood, IL 60153-3328
(708) 216-9000
Not Available

Map and Direction




Provider's Profile

Full NameJacob Douglas Vermeer
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679218721
  • Provider Enumeration Date: 05/03/2022
  • Last Update Date: 07/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688108830
  • Enrollment ID: I20241111000729

Medical Identifiers

Medical identifiers for Jacob Douglas Vermeer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679218721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209030380 (Illinois)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. Jacob Douglas Vermeer allows following entities to bill medicare on his behalf.
Entity NameEncore Anesthesia Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558987883
PECOS PAC ID: 3476979683
Enrollment ID: O20200819000850

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. Jacob Douglas Vermeer 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
Jacob Douglas Vermeer,
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 216-9000		Jacob Douglas Vermeer,
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 216-9000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Maywood, IL

Joseph Marinaro, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-8785    
Mark Byram,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Laura Hartman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 847-347-9847    
Joshua Mitchell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-3619    
Joy Malenie Chaksupa, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-5856    
Sara A Park, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Luis Enrique Negron, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 888-584-7888    

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.