Mr Jacob Sommers, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Prairieville, Louisiana. His current practice location is
36428 Manchac Trace Ave, Prairieville, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(225) 252-2411.
Mr Jacob Sommers is licensed to practice in Texas (license number 1072336) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467192203.
Physician's Profile
Full Name | Mr Jacob Sommers |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 36428 Manchac Trace Ave, Prairieville, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467192203
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 09/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355724568
- Enrollment ID: I20220822002055
Medical Identifiers
Medical identifiers for Mr Jacob Sommers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467192203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 224082 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1072336 (Texas) | 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. Mr Jacob Sommers allows following entities to bill medicare on his behalf.
Entity Name | Apptexashm Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700399078 PECOS PAC ID: 9335406677 Enrollment ID: O20171122000562 |
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Entity Name | Lake Granbury Hb Medical Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043992001 PECOS PAC ID: 6204280779 Enrollment ID: O20231003000017 |
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Entity Name | Lake Granbury Hospital-based Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689443467 PECOS PAC ID: 3971940966 Enrollment ID: O20240326003607 |
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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. Mr Jacob Sommers 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 |
Mr Jacob Sommers, FNP 36428 Manchac Trace Ave, Prairieville, LA 70769-3264 Ph: (225) 252-2411 | Mr Jacob Sommers, FNP 36428 Manchac Trace Ave, Prairieville, LA 70769-3264 Ph: (225) 252-2411 |
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