Emily Jacobs, RDN is a medicare enrolled "Dietitian, Registered" provider in Haymarket, Virginia. Her current practice location is
15195 Heathcote Blvd Ste 330, Haymarket, Virginia. You can reach out to her office (for appointments etc.) via phone at
(571) 284-3380.
Emily Jacobs is licensed to practice in Virginia (license number 86199387) 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 1992452254.
Healthcare Provider's Profile
| Full Name | Emily Jacobs |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 15195 Heathcote Blvd Ste 330, Haymarket, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992452254
- Provider Enumeration Date: 03/07/2022
- Last Update Date: 03/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810382280
- Enrollment ID: I20220322000600
Medical Identifiers
Medical identifiers for Emily Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992452254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86199387 (Virginia) | 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. Emily Jacobs allows following entities to bill medicare on her behalf.
| Provider Name | Uva Community Health Medical Group, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1023483567
PECOS PAC ID: 4688587967
Enrollment ID: O20110311000151 |
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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. Emily Jacobs 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 |
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Emily Jacobs, RDN
936952,
Atlanta, GA 31193-6952
Ph: () - | Emily Jacobs, RDN
15195 Heathcote Blvd Ste 330,
Haymarket, VA 20169-6244
Ph: (571) 284-3380 |
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