Stacey L Jacobs, NP is a medicare enrolled "Nurse Practitioner" physician in Jeffersonville, Indiana. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Health Center Of Clark County, Inc and her current practice location is
1319 Duncan Ave, Jeffersonville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 283-2308.
Stacey L Jacobs is licensed to practice in Indiana (license number 71004631B) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295161933.
Physician's Profile
| Full Name | Stacey L Jacobs |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 1319 Duncan Ave, Jeffersonville, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacey L Jacobs graduated from medical school in 2013
NPI Data:
- NPI Number: 1295161933
- Provider Enumeration Date: 09/25/2013
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860621364
- Enrollment ID: I20161021002057
Medical Identifiers
Medical identifiers for Stacey L Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295161933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 3010254 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 71004631B (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Health Center Of Clark County, Inc | 8426139254 | 4 |
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. Stacey L Jacobs allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210209002652 |
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| Entity Name | Wellington Provider Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457012205
PECOS PAC ID: 8123412459
Enrollment ID: O20220302000270 |
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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. Stacey L 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 |
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Stacey L Jacobs, NP
1319 Duncan Ave, Family Health Center Clark County,
Jeffersonville, IN 47130-3759
Ph: (812) 283-2308 | Stacey L Jacobs, NP
1319 Duncan Ave,
Jeffersonville, IN 47130-3759
Ph: (812) 283-2308 |
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