| Mr Jacob Rathbun, | |
|
225 E Washington Ave, Jonesboro, AR 72401-3111 | |
| (870) 207-4100 | |
| Not Available |
| Full Name | Mr Jacob Rathbun |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 225 E Washington Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972258739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2022019013 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia V, P.a. | 8921359712 | 33 |
| Entity Name | Lifelinc Anesthesia V, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Rathbun, 35 County Road 7283, Jonesboro, AR 72405-5192 Ph: (573) 718-8075 | Mr Jacob Rathbun, 225 E Washington Ave, Jonesboro, AR 72401-3111 Ph: (870) 207-4100 |
Lauren Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744 | |
James M Glisson, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-6396 Fax: 870-935-4063 | |
Mrs. Megan Renee Harrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Mr. Terry Mitchel Hughes Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 909 Enterprise Dr, Jonesboro, AR 72401 Phone: 870-336-1100 Fax: 870-336-1134 | |
Paul S Blumreich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744 | |
Kalie D Rathbun, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-8500 | |
Edmund Carmack, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-932-4211 Fax: 870-931-9141 |