Mr Jacob Troy Russell, CRNA in Payson, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Jacob Troy Russell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Payson, Arizona. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sleepy Plains Anesthesia Llc 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 (928) 472-1273.

Mr Jacob Troy Russell is licensed to practice in Arizona (license number CRNA1226) 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 1972056588.

Contact Information

	Mr Jacob Troy Russell, CRNA
	807 S Ponderosa St, Payson, AZ 85541-5542
	(928) 472-1273
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jacob Troy Russell
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	807 S Ponderosa St, Payson, Arizona
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 Troy Russell graduated from nursing school in 2016

NPI Data:

NPI Number: 1972056588
Provider Enumeration Date: 07/31/2016
Last Update Date: 07/31/2016

Medicare PECOS Information:

PECOS PAC ID: 3971890146
Enrollment ID: I20170123001117

Medical Identifiers

Medical identifiers for Mr Jacob Troy Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972056588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CRNA1226 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Plains Regional Medical Center	Clovis, NM	Hospital
Roosevelt General Hospital	Portales, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sleepy Plains Anesthesia Llc	4284960352	8

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 Troy Russell allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Associates Of New Mexico P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912900754 PECOS PAC ID: 4385536564 Enrollment ID: O20040325000455

Entity Name	Sleepy Plains Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265090344 PECOS PAC ID: 4284960352 Enrollment ID: O20190726001196

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 Troy Russell 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 Troy Russell, CRNA 823 W Sierra Cir, Payson, AZ 85541-6602 Ph: (480) 209-9285	Mr Jacob Troy Russell, CRNA 807 S Ponderosa St, Payson, AZ 85541-5542 Ph: (928) 472-1273

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Payson, AZ

Loran C Jacobs Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 602-273-6770 Fax: 602-889-0483
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 - Medicare Certified Registered Nurse Anesthetist (crna) in Payson, AZ