| Jacob Schubert, | |
|
100 Northcrest Dr, Springfield, TN 37172-3927 | |
| (615) 698-3000 | |
| Not Available |
| Full Name | Jacob Schubert |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 100 Northcrest Dr, Springfield, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356017024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 242353 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 35095 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northcrest Medical Center | Springfield, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Ii, Pllc | 2668658493 | 60 |
| Lifelinc Anesthesia Viii Pllc | 3173984762 | 67 |
| Entity Name | Lifelinc Anesthesia Ii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
| Entity Name | Lifelinc Anesthesia Viii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Schubert, 100 Northcrest Dr, Springfield, TN 37172-3927 Ph: (615) 698-3000 | Jacob Schubert, 100 Northcrest Dr, Springfield, TN 37172-3927 Ph: (615) 698-3000 |
Jessica Lee Glass, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 709 Cheatham St, Springfield, TN 37172 Phone: 615-212-0082 | |
Matthew Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-1529 Fax: 615-384-1765 | |
Jeremiah Brown, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 N Main St, Springfield, TN 37172 Phone: 615-406-3996 | |
Mr. William Claude England Iv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 866-362-6963 Fax: 866-362-4202 | |
Seleana Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 866-362-6963 Fax: 866-362-4202 | |
Mr. Robert W Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-643-2706 Fax: 615-643-2706 | |
Todd M Perkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-1529 Fax: 615-384-1765 |