Dr Lisa Jacobs, MD in Fountain Valley, CA

Dr Lisa Jacobs, MD is a medicare enrolled "Pediatrics" physician in Fountain Valley, California. Her current practice location is 17100 Euclid Street, Picu, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (714) 966-7253.

Dr Lisa Jacobs is licensed to practice in California (license number A149687) 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 1376937367.

Contact Information

	Dr Lisa Jacobs, MD
	17100 Euclid Street, Picu, Fountain Valley, CA 92708
	(714) 966-7253
	(714) 966-3354

Map and Direction

Physician's Profile

Full Name	Dr Lisa Jacobs
Gender	Female
Speciality	Pediatrics
Location	17100 Euclid Street, Picu, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376937367
Provider Enumeration Date: 03/27/2015
Last Update Date: 04/24/2019

Medicare PECOS Information:

PECOS PAC ID: 7810251303
Enrollment ID: I20180509001808

Medical Identifiers

Medical identifiers for Dr Lisa Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376937367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A149687 (California)	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. Dr Lisa Jacobs allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Cottage Clinical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235790544 PECOS PAC ID: 0345625950 Enrollment ID: O20220919001496

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. Dr Lisa 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
Dr Lisa Jacobs, MD 757 Westwood Plaza, B711, Rrumc, Los Angeles, CA 90095-7419 Ph: (310) 267-9129	Dr Lisa Jacobs, MD 17100 Euclid Street, Picu, Fountain Valley, CA 92708 Ph: (714) 966-7253

Reviews and Comments

Pediatrics Doctors in Fountain Valley, CA

Sheila Phuong Nguyen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 17360 Brookhurst Street, Fountain Valley, CA 92708 Phone: 714-665-1797 Fax: 714-665-4680
Margaret Zimmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18035 Brookhurst St, Suite 2100, Fountain Valley, CA 92708 Phone: 657-241-9090
Graham C Tse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Department Picu/peds, Fountain Valley, CA 92708 Phone: 714-966-7253 Fax: 714-966-3354
Mrs. Toquynh Dinh Kieu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11100 Warner Ave, Suite # 116, Fountain Valley, CA 92708 Phone: 714-641-0850 Fax: 714-434-6158
Dr. Jyotsna Keni, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11160 Warner Ave, Suite 117, Fountain Valley, CA 92708 Phone: 714-432-1950 Fax: 714-432-1953
Tanya Dansky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17360 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-377-2900
Miss Elisabeth Vanessa Malin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18255 Brookhurst St, Suite 100, Fountain Valley, CA 92708 Phone: 714-378-5330 Fax: 714-378-5320

Dr Lisa Jacobs, MD - Medicare Pediatrics in Fountain Valley, CA