Jacob Rookard, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Eisenhower, Georgia. His current practice location is
300 W Hospital Rd, Fort Eisenhower, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 787-5811.
Jacob Rookard is licensed to practice in Georgia (license number GAA-CRNA002378) 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 1174366058.
Provider's Profile
| Full Name | Jacob Rookard |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 300 W Hospital Rd, Fort Eisenhower, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174366058
- Provider Enumeration Date: 06/17/2024
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971032210
- Enrollment ID: I20250130003597
Medical Identifiers
Medical identifiers for Jacob Rookard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174366058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | GAA-CRNA002378 (Georgia) | 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 Rookard allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Consultants Of Augusta Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881877793
PECOS PAC ID: 6204905763
Enrollment ID: O20080523000204 |
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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 Rookard 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 |
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Jacob Rookard,
4899 Fairmont Dr,
Graniteville, SC 29829-4139
Ph: (405) 635-6723 | Jacob Rookard,
300 W Hospital Rd,
Fort Eisenhower, GA 30905-5741
Ph: (706) 787-5811 |
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