Brooke L Jacob, RD in Newark, DE - Medicare Dietitian, Registered Provider

Brooke L Jacob, RD is a medicare enrolled "Dietitian, Registered" provider in Newark, Delaware. Her current practice location is 4735 Ogletown Stanton Road, Suite 3201, Newark, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 623-4323.

Brooke L Jacob is licensed to practice in Delaware (license number DN-0000379) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528332871.

Contact Information

	Brooke L Jacob, RD
	4735 Ogletown Stanton Road, Suite 3201, Newark, DE 19713
	(302) 623-4323
	(302) 623-4315

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke L Jacob
Gender	Female
Speciality	Dietitian, Registered
Location	4735 Ogletown Stanton Road, Newark, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528332871
Provider Enumeration Date: 03/05/2012
Last Update Date: 11/03/2016

Medicare PECOS Information:

PECOS PAC ID: 2062673437
Enrollment ID: I20120411000389

Medical Identifiers

Medical identifiers for Brooke L Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528332871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DN-0000379 (Delaware)	Primary

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. Brooke L Jacob allows following entities to bill medicare on her behalf.

Provider Name	Christiana Care Health Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770568107 PECOS PAC ID: 9739097569 Enrollment ID: O20031201000477

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. Brooke L Jacob 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
Brooke L Jacob, RD P.o. Box 30170, Wilmington, DE 19805-7170 Ph: (302) 623-7113	Brooke L Jacob, RD 4735 Ogletown Stanton Road, Suite 3201, Newark, DE 19713 Ph: (302) 623-4323

Reviews and Comments

Dietitian, Registered in Newark, DE

Martha Czymmek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4701 Ogletown-stanton Road, Suite 1213, Newark, DE 19713 Phone: 302-623-4550 Fax: 302-623-4554
Deborah E Smith, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16 Lamatan Rd, Newark, DE 19711 Phone: 302-547-6739 Fax: 302-234-4067
Kelly A Rossi, MS, RDN, CSSD, IFNCP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 631 S College Ave, Newark, DE 19716 Phone: 302-831-0913
Ms. Catherine A Vroome, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 351 George Williams Way, Newark, DE 19702 Phone: 302-836-9622
Rebecca S Boyd, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4701 Ogletown Stanton Rd, Helen F. Graham Cancer Center, Suite 2200, Newark, DE 19713 Phone: 302-623-4500 Fax: 302-623-7420
Christina Lauren Choma, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 258 Chapman Rd Ste 100, Newark, DE 19702 Phone: 302-283-7164
Cchs Oncology Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4701 Ogletown Stanton Rd, Helen F. Graham Cancer Center West, Suite 2335, Newark, DE 19713 Phone: 302-623-4285 Fax: 302-623-4155

Brooke L Jacob, RD - Medicare Dietitian in Newark, DE