Mr John Robert Jackson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Woonsocket, RI

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Mr John Robert Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Woonsocket, Rhode Island. His current practice location is 115 Cass Ave, Northern Rhode Island Anesthesia Associates, Pc, Woonsocket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 769-4100.

Mr John Robert Jackson is licensed to practice in Rhode Island (license number APRN00396) 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 1548376437.

Contact Information

Mr John Robert Jackson, CRNA
115 Cass Ave, Northern Rhode Island Anesthesia Associates, Pc,
Woonsocket, RI 02895-4705
(401) 769-4100
Not Available

Map and Direction




Provider's Profile

Full NameMr John Robert Jackson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location115 Cass Ave, Woonsocket, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548376437
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 07/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062467871
  • Enrollment ID: I20050910000282

Medical Identifiers

Medical identifiers for Mr John Robert Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548376437NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 206366 (Massachusetts)Secondary
367500000XNurse Anesthetist, Certified Registered APRN00396 (Rhode Island)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. Mr John Robert Jackson allows following entities to bill medicare on his behalf.
Entity NameUniversity Gastroenterology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386952612
PECOS PAC ID: 3678762804
Enrollment ID: O20110104000826
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053782466
PECOS PAC ID: 2567455082
Enrollment ID: O20160121000235

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. Mr John Robert Jackson 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
Mr John Robert Jackson, CRNA
9 Macintosh Dr,
Cranston, RI 02921-2107

Ph: () -		Mr John Robert Jackson, CRNA
115 Cass Ave, Northern Rhode Island Anesthesia Associates, Pc,
Woonsocket, RI 02895-4705

Ph: (401) 769-4100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Woonsocket, RI

Brian L. Miller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 115 Cass Ave, Woonsocket, RI 02895
Phone: 401-769-4100    
Mr. Raymond A Gazaille, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 115 Cass Ave, A & B Anesthesia Associates, Woonsocket, RI 02895
Phone: 401-769-4100    
Mr. David C. Anderson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 115 Cass Ave, Northern Rhode Island Anesthesia Associates, Pc, Woonsocket, RI 02895
Phone: 401-769-4100    

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.