Laura Ann Jacob, RD in Champaign, IL - Medicare Registered Dietitian Or Nutrition Professional Provider

Laura Ann Jacob, RD is a medicare enrolled "Dietitian, Registered" provider in Champaign, Illinois. She graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Christie Clinic, Llc and her current practice location is 1801 W Windsor Rd, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 366-8144.

Laura Ann Jacob is licensed to practice in Illinois (license number 164.004493) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144427857.

Contact Information

	Laura Ann Jacob, RD
	1801 W Windsor Rd, Champaign, IL 61822-6217
	(217) 366-8144
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Ann Jacob
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	20 Years
Location	1801 W Windsor Rd, Champaign, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Laura Ann Jacob graduated from medical school in 2005

NPI Data:

NPI Number: 1144427857
Provider Enumeration Date: 06/27/2007
Last Update Date: 05/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2365701638
Enrollment ID: I20180111001753

Medical Identifiers

Medical identifiers for Laura Ann Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144427857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164.004493 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christie Clinic, Llc	7719899319	202

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. Laura Ann Jacob allows following entities to bill medicare on her behalf.

Provider Name	Christie Clinic, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332

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. Laura Ann 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
Laura Ann Jacob, RD 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-8130	Laura Ann Jacob, RD 1801 W Windsor Rd, Champaign, IL 61822-6217 Ph: (217) 366-8144

Reviews and Comments

Dietitian, Registered in Champaign, IL

Kimberly Spirek, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 E Springfield Ave Apt 1208, Champaign, IL 61820 Phone: 847-975-4464
Madeline Puto, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 W Ells Ave, Champaign, IL 61820 Phone: 314-681-7237
Martha Finn Trenkamp, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6205
Maryjean Mccallister, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1813 W Kirby Ave, Champaign, IL 61821 Phone: 217-383-3490 Fax: 217-383-3439
Kati Rudin, Dietitian Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-2853
Anna Crawford, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St Ste 406, Champaign, IL 61820 Phone: 217-721-4042

Laura Ann Jacob, RD - Medicare Dietitian in Champaign, IL