Kelsey C Jacks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Calera, Alabama. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Robert W Nesbitt Md Pc, Anesthesiologists Associated Pc and her current practice location is
116 Grant Cir, Calera, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 617-4010.
Kelsey C Jacks is licensed to practice in Alabama (license number 1161964) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770254963.
Provider's Profile
| Full Name | Kelsey C Jacks |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 116 Grant Cir, Calera, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelsey C Jacks graduated from nursing school in 2024
NPI Data:
- NPI Number: 1770254963
- Provider Enumeration Date: 09/27/2021
- Last Update Date: 08/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325572456
- Enrollment ID: I20241113000144
Medical Identifiers
Medical identifiers for Kelsey C Jacks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770254963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1161964 (Alabama) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Robert W Nesbitt Md Pc | 7012819436 | 14 |
| Anesthesiologists Associated Pc | 6204739519 | 418 |
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. Kelsey C Jacks allows following entities to bill medicare on her behalf.
| Entity Name | Robert W Nesbitt MD PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588731269
PECOS PAC ID: 7012819436
Enrollment ID: O20040124000315 |
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| Entity Name | Anesthesiologists Associated PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851371850
PECOS PAC ID: 6204739519
Enrollment ID: O20040202000465 |
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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. Kelsey C Jacks 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 |
|---|
Kelsey C Jacks, CRNA
116 Grant Cir,
Calera, AL 35040-5574
Ph: (205) 617-4010 | Kelsey C Jacks, CRNA
116 Grant Cir,
Calera, AL 35040-5574
Ph: (205) 617-4010 |
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