Mona Pearl Jacobson, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Aurora, Colorado. Her current practice location is
13123 E 16th Ave, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 777-1234.
Mona Pearl Jacobson is licensed to practice in Colorado (license number APN.0990301-NP) 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 1053470765.
Physician's Profile
| Full Name | Mona Pearl Jacobson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 13123 E 16th Ave, Aurora, Colorado |
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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: 1053470765
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032154661
- Enrollment ID: I20120103000265
Medical Identifiers
Medical identifiers for Mona Pearl Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053470765 | NPI | - | NPPES |
| 86608304 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084E0001X | Psychiatry & Neurology - Epilepsy | 0990301 (Colorado) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 0990301 (Colorado) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | SNP 100038 (Colorado) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APN.0990301-NP (Colorado) | 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. Mona Pearl Jacobson allows following entities to bill medicare on her behalf.
| Entity Name | University Physicians Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962461889
PECOS PAC ID: 3476465667
Enrollment ID: O20031105000375 |
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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. Mona Pearl Jacobson 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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Mona Pearl Jacobson, NP
Po Box 110429,
Aurora, CO 80042-0429
Ph: (303) 493-7000 | Mona Pearl Jacobson, NP
13123 E 16th Ave,
Aurora, CO 80045-7106
Ph: (720) 777-1234 |
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