Loran C Jacobs Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Payson, AZ

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Loran C Jacobs Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Payson, Arizona. He graduated from nursing school in 1992 and has 33 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Tuba City Regional Health Care Corporation and his current practice location is 807 S Ponderosa St, Payson, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 273-6770.

Loran C Jacobs Jr is licensed to practice in Arizona (license number CRNA0562) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144277575.

Contact Information

Loran C Jacobs Jr, CRNA
807 S Ponderosa St,
Payson, AZ 85541-5542
(602) 273-6770
(602) 889-0483

Map and Direction




Provider's Profile

Full NameLoran C Jacobs Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience33 Years
Location807 S Ponderosa St, Payson, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Loran C Jacobs Jr graduated from nursing school in 1992
  NPI Data:
  • NPI Number: 1144277575
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 04/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5294813028
  • Enrollment ID: I20171229000167

Medical Identifiers

Medical identifiers for Loran C Jacobs Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144277575NPI-NPPES
320385MedicaidAZ
4704149628OtherMILICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704149628 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered RN151239 (Arizona)Secondary
367500000XNurse Anesthetist, Certified Registered CRNA0562 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tuba City Regional Health Care CorporationTuba city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tuba City Regional Health Care Corporation4284542531151

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. Loran C Jacobs Jr allows following entities to bill medicare on his behalf.
Entity NameTuba City Regional Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107

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. Loran C Jacobs Jr 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
Loran C Jacobs Jr, CRNA
5281 N 99th Ave, Ste 100,
Glendale, AZ 85305-2209

Ph: (623) 241-6160		Loran C Jacobs Jr, CRNA
807 S Ponderosa St,
Payson, AZ 85541-5542

Ph: (602) 273-6770

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Payson, AZ

Brooke Mcphee, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 807 S Ponderosa St, Payson, AZ 85541
Phone: 928-471-3222    
Guy Caraffa, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 807 S Ponderosa St, Payson, AZ 85541
Phone: 602-273-6770    Fax: 602-889-0489
Kirt Rosenlof, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 807 S Ponderosa St, Payson, AZ 85541
Phone: 602-273-6770    Fax: 602-889-0489
Mr. Jacob Troy Russell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 807 S Ponderosa St, Payson, AZ 85541
Phone: 928-472-1273    

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.