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

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 8 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



Provider's Profile

Full NameMr Jacob Troy Russell
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location807 S Ponderosa St, Payson, Arizona
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:
  • 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.
IdentifierTypeStateIssuer
1972056588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA1226 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Plains Regional Medical CenterClovis, NMHospital
Roosevelt General HospitalPortales, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sleepy Plains Anesthesia Llc428496035210

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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 NameAnesthesia Associates Of New Mexico P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912900754
PECOS PAC ID: 4385536564
Enrollment ID: O20040325000455

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Entity NameSleepy Plains Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265090344
PECOS PAC ID: 4284960352
Enrollment ID: O20190726001196

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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 AddressPractice 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

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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

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