Jacob Payne Smith, CRNA in Flagstaff, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Jacob Payne Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Flagstaff, Arizona. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emergenchealth Pllc, Community Hospital Of Anaconda, Mid Tex Anesthesia Assoc and his current practice location is 77 W Forest Ave Ste 117, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 773-2505.

Jacob Payne Smith is licensed to practice in Arizona (license number 0940) 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 1275801870.

Contact Information

	Jacob Payne Smith, CRNA
	77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482
	(928) 773-2505
	(928) 773-2504

Map and Direction

Provider's Profile

Full Name	Jacob Payne Smith
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	77 W Forest Ave Ste 117, Flagstaff, Arizona
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 Payne Smith graduated from nursing school in 2011

NPI Data:

NPI Number: 1275801870
Provider Enumeration Date: 12/09/2011
Last Update Date: 09/24/2018

Medicare PECOS Information:

PECOS PAC ID: 9032377544
Enrollment ID: I20231004003816

Medical Identifiers

Medical identifiers for Jacob Payne Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275801870	NPI	-	NPPES
274331YPVE	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	203222 (Colorado)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	100091 (Colorado)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0940 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nacogdoches Medical Center	Nacogdoches, TX	Hospital
Brownwood Regional Medical Center	Brownwood, TX	Hospital
Seton Medical Center Harker Heights	Harker heights, TX	Hospital
Sidney Health Center	Sidney, MT	Hospital
Providence Health Center	Waco, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergenchealth Pllc	1355606641	1006
Community Hospital Of Anaconda	8123938974	48
Mid Tex Anesthesia Assoc	5395815369	28

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 Payne Smith allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685

Entity Name	Mid Tex Anesthesia Assoc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174612857 PECOS PAC ID: 5395815369 Enrollment ID: O20080603000130

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439

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 Payne Smith 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 Payne Smith, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505	Jacob Payne Smith, CRNA 77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482 Ph: (928) 773-2505

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Flagstaff, AZ

Elizabeth Gilmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Juliana D Eichenberg, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2113
Jack Gilbert Weiss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
Benjamin Henrie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Whitley Harbison Kloeblen, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366
Linda Allsop, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504
James Dean Bohn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 Phone: 928-773-2505 Fax: 928-773-2504

Jacob Payne Smith, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Flagstaff, AZ