Valarie D Jacobs, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Bountiful, Utah. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
230 S Main St, Bountiful, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 784-8414.
Valarie D Jacobs is licensed to practice in Utah (license number 348597-4405) 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 1912480567.
Physician's Profile
| Full Name | Valarie D Jacobs |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 230 S Main St, Bountiful, Utah |
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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:
- Valarie D Jacobs graduated from medical school in 2018
NPI Data:
- NPI Number: 1912480567
- Provider Enumeration Date: 09/10/2018
- Last Update Date: 06/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103160999
- Enrollment ID: I20181205001623
Medical Identifiers
Medical identifiers for Valarie D Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912480567 | NPI | - | NPPES |
| 2018018306 | Other | UT | ANCC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 348597-4405 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 348597-4405 (Utah) | Primary |
Medical Facilities Affiliation
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. Valarie D Jacobs allows following entities to bill medicare on her behalf.
| Entity Name | Valdar Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336619675
PECOS PAC ID: 8123360534
Enrollment ID: O20190506001707 |
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| Entity Name | Amble Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134865595
PECOS PAC ID: 2365821220
Enrollment ID: O20220623000525 |
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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. Valarie D 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 |
|---|
Valarie D Jacobs, APRN
726 S Kays Dr,
Kaysville, UT 84037-8402
Ph: (801) 698-0544 | Valarie D Jacobs, APRN
230 S Main St,
Bountiful, UT 84010-6236
Ph: (801) 784-8414 |
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