Roger Jacquelin, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in South Hill, VA

Roger Jacquelin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Hill, Virginia. He graduated from nursing school in 1972 and has 52 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Cmh Physician Services Llc and his current practice location is 125 Buena Vista Cir, South Hill, Virginia. You can reach out to his office (for appointments etc.) via phone at (952) 442-9770.

Roger Jacquelin is licensed to practice in Virginia (license number 0001051476) 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 1609858406.

Contact Information

Roger Jacquelin, CRNA
125 Buena Vista Cir,
South Hill, VA 23970-1431
(952) 442-9770
Not Available

Map and Direction




Provider's Profile

Full NameRoger Jacquelin
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience52 Years
Location125 Buena Vista Cir, South Hill, Virginia
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:
  • Roger Jacquelin graduated from nursing school in 1972
  NPI Data:
  • NPI Number: 1609858406
  • Provider Enumeration Date: 11/17/2005
  • Last Update Date: 04/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8325000441
  • Enrollment ID: I20041101000951

Medical Identifiers

Medical identifiers for Roger Jacquelin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609858406NPI-NPPES
080569OtherVABLUE CROSS OF VA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0001051476 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Memorial HospitalSouth hill, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cmh Physician Services Llc3779551445108

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. Roger Jacquelin allows following entities to bill medicare on his behalf.
Entity NameCmh Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194760645
PECOS PAC ID: 3779551445
Enrollment ID: O20040921000171

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. Roger Jacquelin 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
Roger Jacquelin, CRNA
400 E 10th St,
Waconia, MN 55387-4552

Ph: (952) 442-9770
Roger Jacquelin, CRNA
125 Buena Vista Cir,
South Hill, VA 23970-1431

Ph: (952) 442-9770

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Hill, VA

Olukunle Oreyemi-rire Olumuyiwa, CRNA (DMPNA), APRN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970
Phone: 434-584-2273    Fax: 434-584-5579
Mrs. Pamela Susan Bardwell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 125 Buena Vista Circle, Cmh-vcu Health, South Hill, VA 23919
Phone: 434-447-3151    
Thomas Watters, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 125 Buena Vista Cir, South Hill, VA 23970
Phone: 952-442-9770    

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.