Mr Jacob Larry Carlson, CRNA in Saint Louis, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Jacob Larry Carlson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Louis, Missouri. He graduated from nursing school in 2011 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 Washington University, Associated Anesthesiologists Sc and his current practice location is 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (800) 862-9980.

Mr Jacob Larry Carlson is licensed to practice in Missouri (license number 2021002282) 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 1952687196.

Contact Information

	Mr Jacob Larry Carlson, CRNA
	1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110-1003
	(800) 862-9980
	(314) 362-1185

Map and Direction

Provider's Profile

Full Name	Mr Jacob Larry Carlson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	1 Barnes Jewish Hospital Plz, Saint Louis, Missouri
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 Larry Carlson graduated from nursing school in 2011

NPI Data:

NPI Number: 1952687196
Provider Enumeration Date: 11/02/2011
Last Update Date: 04/15/2025

Medicare PECOS Information:

PECOS PAC ID: 5395904163
Enrollment ID: I20120507000102

Medical Identifiers

Medical identifiers for Mr Jacob Larry Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952687196	NPI	-	NPPES
919604207	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2021002282 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital
Barnes Jewish Hospital	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington University	9830008770	2782
Associated Anesthesiologists Sc	6305744129	119

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 Larry Carlson allows following entities to bill medicare on his behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20031118001093

Entity Name	Metro-west Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563

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 Larry Carlson 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 Larry Carlson, CRNA Po Box 7412011, Chicago, IL 60674-2011 Ph: (800) 862-9980	Mr Jacob Larry Carlson, CRNA 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110-1003 Ph: (800) 862-9980

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Louis, MO

Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479

Mr Jacob Larry Carlson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Saint Louis, MO