Jacob Tibbs, CRNA - Medicare Nurse Anesthetist, Certified Registered in Princeton, WV

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Jacob Tibbs, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Princeton, West Virginia. His current practice location is 122 12th Street Ext, Princeton, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 487-7000.

Jacob Tibbs is licensed to practice in West Virginia (license number 113030) 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 1548901739.

Contact Information

Jacob Tibbs, CRNA
122 12th Street Ext,
Princeton, WV 24740-2352
(304) 487-7000
Not Available

Map and Direction




Provider's Profile

Full NameJacob Tibbs
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location122 12th Street Ext, Princeton, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548901739
  • Provider Enumeration Date: 04/05/2022
  • Last Update Date: 09/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163808189
  • Enrollment ID: I20220928003188

Medical Identifiers

Medical identifiers for Jacob Tibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548901739NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001282301 (Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 113030 (West Virginia)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 Tibbs allows following entities to bill medicare on his behalf.
Entity NamePrinceton Community Hospital Assn. Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093917643
PECOS PAC ID: 3678482221
Enrollment ID: O20031211000436
Entity NameEast River Anesthesiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740711795
PECOS PAC ID: 2961770169
Enrollment ID: O20170612002178
Entity NameHospitalist Medicine Physicians Of West Virginia - South Charleston
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063228120
PECOS PAC ID: 7911437603
Enrollment ID: O20250211001137

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 Tibbs 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 Tibbs, CRNA
Po Box 7023,
Princeton, WV 24740-0197

Ph: () -		Jacob Tibbs, CRNA
122 12th Street Ext,
Princeton, WV 24740-2352

Ph: (304) 487-7000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Princeton, WV

Mrs. Mary K Roberts, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 109 Morrison Dr, Princeton, WV 24740
Phone: 304-487-3559    Fax: 304-487-7928
Mrs. Caressa Rae Southers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 109 Morrison Dr, Princeton, WV 24740
Phone: 304-487-3559    Fax: 304-487-7928
Kathy R Akers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 122 12th St, Princeton, WV 24740
Phone: 304-487-7000    
Mrs. Michele E Smith, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 405 12th Street Ext, Princeton, WV 24740
Phone: 304-425-7243    Fax: 304-487-3525
Ronald Beatty,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 109 Morrison Dr, Princeton, WV 24740
Phone: 304-487-3559    Fax: 304-487-7928
Mrs. Maxine Dempsey, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 65 New Hope Rd, Princeton, WV 24740
Phone: 304-425-9724    
Johnnie Johns,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 109 Morrison Dr, Princeton, WV 24740
Phone: 304-487-3559    Fax: 304-487-7928

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.