Dr Nirmala Rose Jacob, MD - Medicare Internal Medicine in Maitland, FL

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Dr Nirmala Rose Jacob, MD is a medicare enrolled "Internal Medicine" physician in Maitland, Florida. Her current practice location is 2201 Lucien Way Ste 100, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (401) 875-0028.

Dr Nirmala Rose Jacob is licensed to practice in Florida (license number ME75726) 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 1578631511.

Contact Information

Dr Nirmala Rose Jacob, MD
2201 Lucien Way Ste 100,
Maitland, FL 32751-7003
(401) 875-0028
(888) 258-2307

Map and Direction




Physician's Profile

Full NameDr Nirmala Rose Jacob
GenderFemale
SpecialityInternal Medicine
Location2201 Lucien Way Ste 100, Maitland, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578631511
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 06/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749267839
  • Enrollment ID: I20041231000017

Medical Identifiers

Medical identifiers for Dr Nirmala Rose Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578631511NPI-NPPES
277885800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME75726 (Florida)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 Nirmala Rose Jacob allows following entities to bill medicare on her behalf.
Entity NameOptumcare Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053384214
PECOS PAC ID: 3072403476
Enrollment ID: O20040318001123
Entity NameGuidewell Sanitas I, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396124046
PECOS PAC ID: 9537447107
Enrollment ID: O20161102001073

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 Nirmala Rose 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 AddressPractice Location Address
Dr Nirmala Rose Jacob, MD
2201 Lucien Way Ste 100,
Maitland, FL 32751-7003

Ph: (407) 875-0028		Dr Nirmala Rose Jacob, MD
2201 Lucien Way Ste 100,
Maitland, FL 32751-7003

Ph: (401) 875-0028

Reviews and Comments


Internal Medicine Doctors in Maitland, FL

Andria Michael Mushahwar, MD
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Dr. Carlos A Pacheco, M.D.
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Neel R Patel, M.D.
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Phone: 407-660-7100    Fax: 407-660-1939

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.