Jacob Warren Walker, CRNA in Tifton, GA - Medicare Nurse Anesthetist, Certified Registered

Jacob Warren Walker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tifton, Georgia. His current practice location is 901 18th St E, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 382-7120.

Jacob Warren Walker is licensed to practice in Georgia (license number RN291630) 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 1578397055.

Contact Information

	Jacob Warren Walker, CRNA
	901 18th St E, Tifton, GA 31794-3648
	(229) 382-7120
	(229) 391-4059

Map and Direction

Provider's Profile

Full Name	Jacob Warren Walker
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	901 18th St E, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578397055
Provider Enumeration Date: 08/28/2024
Last Update Date: 08/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3971036476
Enrollment ID: I20241022004991

Medical Identifiers

Medical identifiers for Jacob Warren Walker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578397055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN291630 (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 Warren Walker allows following entities to bill medicare on his behalf.

Entity Name	Tift Regional Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409

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 Warren Walker 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 Warren Walker, CRNA Po Box 2650, Tifton, GA 31793-2650 Ph: () -	Jacob Warren Walker, CRNA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 382-7120

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tifton, GA

Cole Burgess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722
Heath Farmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722
Brenda H. Warren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Brianna Emadi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Anna Driggers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Jacob Paulk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722
June Harper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6208 Fax: 229-353-7722

Jacob Warren Walker, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tifton, GA