Jacob Emanuel Bevilacqua, RN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Camden, NJ

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Jacob Emanuel Bevilacqua, RN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Camden, New Jersey. He graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sheridan Healthcorp Inc and his current practice location is 1 Cooper Plz, Camden, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 342-2000.

Jacob Emanuel Bevilacqua is licensed to practice in New Jersey (license number 26NR15502700) 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 1992048870.

Contact Information

Jacob Emanuel Bevilacqua, RN, CRNA
1 Cooper Plz,
Camden, NJ 08103-1461
(856) 342-2000
Not Available

Map and Direction




Provider's Profile

Full NameJacob Emanuel Bevilacqua
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location1 Cooper Plz, Camden, New Jersey
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:
  • Jacob Emanuel Bevilacqua graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1992048870
  • Provider Enumeration Date: 03/29/2013
  • Last Update Date: 04/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4688809908
  • Enrollment ID: I20200925000770

Medical Identifiers

Medical identifiers for Jacob Emanuel Bevilacqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992048870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 26NR15502700 (New Jersey)Primary
367500000XNurse Anesthetist, Certified Registered RN2297562 (Massachusetts)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sheridan Healthcorp Inc3173429693849

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 Emanuel Bevilacqua allows following entities to bill medicare on his behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameCentral Florida Eye Institute Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609876986
PECOS PAC ID: 0547243230
Enrollment ID: O20040617000994
Entity NameSolace Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962046151
PECOS PAC ID: 3072945476
Enrollment ID: O20191122000303

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 Emanuel Bevilacqua 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 Emanuel Bevilacqua, RN, CRNA
3 Cooper Plz,
Camden, NJ 08103-1438

Ph: (856) 356-4935		Jacob Emanuel Bevilacqua, RN, CRNA
1 Cooper Plz,
Camden, NJ 08103-1461

Ph: (856) 342-2000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Camden, NJ

Winter E. Skelly, CRNA, APN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103
Phone: 856-342-2425    
Balaishe Boakai Ballo,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Haddon Ave Fl 3, Camden, NJ 08103
Phone: 856-988-6260    Fax: 856-988-6270
Michael Phillip Hoess, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz, Camden, NJ 08103
Phone: 856-342-2425    
Amy Tsao, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103
Phone: 856-382-6500    
Maria Dinnah Eclavia-dy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz, Cooper Anesthesia Associates, Camden, NJ 08103
Phone: 856-342-2425    
Laura Faust, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103
Phone: 856-342-2425    
Amy O'donnell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Cooper Plz Dept Of, Camden, NJ 08103
Phone: 856-342-2425    

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.