Jake R Moss, CRNA in Oxnard, CA - Medicare Nurse Anesthetist, Certified Registered

Jake R Moss, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oxnard, California. His current practice location is 1600 N Rose Ave, Oxnard, California. You can reach out to his office (for appointments etc.) via phone at (805) 988-2500.

Jake R Moss is licensed to practice in California (license number 95002485) 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 1750062022.

Contact Information

	Jake R Moss, CRNA
	1600 N Rose Ave, Oxnard, CA 93030-3722
	(805) 988-2500
	Not Available

Map and Direction

Provider's Profile

Full Name	Jake R Moss
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1600 N Rose Ave, Oxnard, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750062022
Provider Enumeration Date: 07/28/2023
Last Update Date: 04/03/2025

Medicare PECOS Information:

PECOS PAC ID: 6901334275
Enrollment ID: I20250114003160

Medical Identifiers

Medical identifiers for Jake R Moss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750062022	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95133238 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95002485 (California)	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. Jake R Moss allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Jake R Moss 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
Jake R Moss, CRNA 12858 Woodbridge St, Studio City, CA 91604-1560 Ph: () -	Jake R Moss, CRNA 1600 N Rose Ave, Oxnard, CA 93030-3722 Ph: (805) 988-2500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oxnard, CA

Lorie A Salamati, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Solar Drive #100, Oxnard, CA 93036 Phone: 909-946-5752 Fax: 909-985-3858
Hannah Zentner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 805-988-2500
Ms. Lauri M. Spero, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2300 Wankel Way, Oxnard, CA 93030 Phone: 310-471-5852
Ms. Saralee S. Glaser, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Wankel Way, Oxnard, CA 93030 Phone: 805-485-1908 Fax: 805-485-5767
Dustin Widmann, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 805-988-2500
Lois Remely, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Wankel Way, Oxnard, CA 93030 Phone: 805-485-1908

Jake R Moss, CRNA - Medicare Nurse Anesthetist, Certified Registered in Oxnard, CA