Mr Jacob Ivan Hartig, CRNA in Grand Rapids, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Jacob Ivan Hartig, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grand Rapids, Michigan. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Dynamics Llc and his current practice location is 3333 Evergreen Dr Ne, Suite 100, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 364-4200.

Mr Jacob Ivan Hartig is licensed to practice in Michigan (license number 4704267093) 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 1992047039.

Contact Information

	Mr Jacob Ivan Hartig, CRNA
	3333 Evergreen Dr Ne, Suite 100, Grand Rapids, MI 49525-9493
	(616) 364-4200
	(616) 364-7347

Map and Direction

Provider's Profile

Full Name	Mr Jacob Ivan Hartig
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	3333 Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jacob Ivan Hartig graduated from nursing school in 2012

NPI Data:

NPI Number: 1992047039
Provider Enumeration Date: 03/26/2013
Last Update Date: 07/03/2014

Medicare PECOS Information:

PECOS PAC ID: 3971746710
Enrollment ID: I20151207001417

Medical Identifiers

Medical identifiers for Mr Jacob Ivan Hartig such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992047039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704267093 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakewood Ranch Medical Center	Bradenton, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Dynamics Llc	3779832530	615

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 Jacob Ivan Hartig allows following entities to bill medicare on his behalf.

Entity Name	Lakewood Ranch Anesthesia Pl
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932157989 PECOS PAC ID: 9638074248 Enrollment ID: O20031205000181

Entity Name	Fleming Island Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345

Entity Name	Sunbelt Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205172079 PECOS PAC ID: 9436392438 Enrollment ID: O20130823000172

Entity Name	Quiescence Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942671805 PECOS PAC ID: 2567750359 Enrollment ID: O20161011001486

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117

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 Jacob Ivan Hartig 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
Mr Jacob Ivan Hartig, CRNA 3333 Evergreen Dr Ne, Suite 100, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200	Mr Jacob Ivan Hartig, CRNA 3333 Evergreen Dr Ne, Suite 100, Grand Rapids, MI 49525-9493 Ph: (616) 364-4200

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Grand Rapids, MI

Anne Marie Talbot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6063 Fax: 616-685-3092
Mrs. Lindsay E Mckelvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Mrs. Heather M Montgomery-kanitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-364-4200 Fax: 616-364-7347
Courtney Kolanowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000
Mr. Patrick James Evans, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-267-0250
Mr. Brent Zukoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1774
Mrs. Nipaporn Baker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-732-8956

Mr Jacob Ivan Hartig, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grand Rapids, MI