Randy Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, OH

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Randy Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Ohio. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 2020 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Ohio Llc, Holzer Clinic Llc and his current practice location is 280 Pattonsville Rd, Jackson, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 446-5000.

Randy Jackson is licensed to practice in Ohio (license number APRN.CRNA.0020099) 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 1407470719.

Contact Information

Randy Jackson, CRNA
280 Pattonsville Rd,
Jackson, OH 45640-9452
(740) 446-5000
Not Available

Map and Direction




Provider's Profile

Full NameRandy Jackson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location280 Pattonsville Rd, Jackson, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Randy Jackson attended and graduated from Jc Edwards School Of Medicine, Marshall University in 2020
  NPI Data:
  • NPI Number: 1407470719
  • Provider Enumeration Date: 06/02/2020
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183047327
  • Enrollment ID: I20200707002719

Medical Identifiers

Medical identifiers for Randy Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407470719NPI-NPPES
0408956MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN.CRNA.0020099 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holzer Medical CenterGallipolis, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Anesthesia Of Ohio Llc3779714258111
Holzer Clinic Llc5890606008264

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. Randy Jackson allows following entities to bill medicare on his behalf.
Entity NameHolzer Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746
Entity NamePremier Anesthesia Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699196022
PECOS PAC ID: 3779714258
Enrollment ID: O20140326001267

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. Randy 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
Randy Jackson, CRNA
90 Jackson Pike,
Gallipolis, OH 45631-1560

Ph: (740) 446-5387		Randy Jackson, CRNA
280 Pattonsville Rd,
Jackson, OH 45640-9452

Ph: (740) 446-5000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jackson, OH

David B Grimm, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 Burlington Rd, Jackson, OH 45640
Phone: 855-446-5937    Fax: 740-395-8519
Sandra Lee Troester, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 280 Pattonsville Rd, Jackson, OH 45640
Phone: 855-446-5937    Fax: 740-395-8834

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.