Jacob J Briscoe, CRNA in Poplar Bluff, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Jacob J Briscoe, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Poplar Bluff, Missouri. 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 Rural Health Pain Management Llc, Rural Health Pain Management Llc and his current practice location is 3100 Oak Grove Rd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 776-2000.

Jacob J Briscoe is licensed to practice in Missouri (license number 2024007928) 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 1972736551.

Contact Information

	Jacob J Briscoe, CRNA
	3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
	(573) 776-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob J Briscoe
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	3100 Oak Grove Rd, Poplar Bluff, Missouri
Accepts Medicare Assignments	Yes. 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 J Briscoe graduated from nursing school in 2009

NPI Data:

NPI Number: 1972736551
Provider Enumeration Date: 08/28/2009
Last Update Date: 09/09/2024

Medicare PECOS Information:

PECOS PAC ID: 0547316713
Enrollment ID: I20240326002195

Medical Identifiers

Medical identifiers for Jacob J Briscoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972736551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	041341872 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209007627 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2024007928 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Poplar Bluff Regional Medical Center	Poplar bluff, MO	Hospital
Great River Medical Center	Blytheville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rural Health Pain Management Llc	8921410341	32
Rural Health Pain Management Llc	8921410341	32

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 J Briscoe allows following entities to bill medicare on his behalf.

Entity Name	Capital Anesthesia Solutions Of Missouri, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560

Entity Name	Rural Health Pain Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265039556 PECOS PAC ID: 8921410341 Enrollment ID: O20210512002296

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 J Briscoe 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 Address	Practice Location Address
Jacob J Briscoe, CRNA 1201 Hamer Rd, Dyersburg, TN 38024-6908 Ph: (309) 210-6650	Jacob J Briscoe, CRNA 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 Ph: (573) 776-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Poplar Bluff, MO

Ms. Shirley A Jautz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-727-9080
Joshua Ryan Morse, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000
Shane D Faltys, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-718-2710
Timothy Paul Kordick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-686-4111
Roger Dean Faltys, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-727-2295
Mr. Glenn Dean Carlton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 621 W Pine St, Poplar Bluff, MO 63901 Phone: 573-686-4111
Mr. Richard Leroy Crayton, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721

Jacob J Briscoe, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Poplar Bluff, MO