Dr Lourdes R Jacobo, MD in Prescott, AZ

Dr Lourdes R Jacobo, MD is a medicare enrolled "Pediatrics" physician in Prescott, Arizona. Her current practice location is 2120 Centerpointe West Dr, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 778-4581.

Dr Lourdes R Jacobo is licensed to practice in Arizona (license number 40096) 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 1861548679.

Contact Information

	Dr Lourdes R Jacobo, MD
	2120 Centerpointe West Dr, Prescott, AZ 86301-8487
	(928) 778-4581
	(928) 776-1872

Map and Direction

Physician's Profile

Full Name	Dr Lourdes R Jacobo
Gender	Female
Speciality	Pediatrics
Location	2120 Centerpointe West Dr, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861548679
Provider Enumeration Date: 01/26/2007
Last Update Date: 08/25/2016

Medicare PECOS Information:

PECOS PAC ID: 7214252071
Enrollment ID: I20150219000727

Medical Identifiers

Medical identifiers for Dr Lourdes R Jacobo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861548679	NPI	-	NPPES
401708	Medicaid	AZ
40096	Other	AZ	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	23974 (New Jersey)	Secondary
208000000X	Pediatrics	40096 (Arizona)	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 Lourdes R Jacobo allows following entities to bill medicare on her behalf.

Entity Name	Yavapai Regional Medical Center Physician Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798

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 Lourdes R Jacobo 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 Lourdes R Jacobo, MD 16950 N 49th Way, Scottsdale, AZ 85254-1082 Ph: (623) 238-4284	Dr Lourdes R Jacobo, MD 2120 Centerpointe West Dr, Prescott, AZ 86301-8487 Ph: (928) 778-4581

Reviews and Comments

Pediatrics Doctors in Prescott, AZ

Dr. David Andrew Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000
Ronael Eckman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2120 Centerpointe West Dr, Prescott, AZ 86301 Phone: 928-778-4581 Fax: 928-776-1872
Dr. Kathryn T Ballard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 928-583-1000 Fax: 866-323-8458
James M Mick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2120 Centerpointe West Drive, Prescott, AZ 86301 Phone: 928-443-1111 Fax: 928-443-5554
Jennifer Evans Tidroski, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2120 Centerpointe West Dr, Prescott, AZ 86301 Phone: 928-778-4581 Fax: 928-776-1872
Shelly Faye Klein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1672 Oaklawn Dr., Prescott, AZ 86305 Phone: 928-445-5339 Fax: 928-445-3644

Dr Lourdes R Jacobo, MD - Medicare Pediatrics in Prescott, AZ