Alice Jacob, - Medicare Nurse Practitioner in West Warwick, RI

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Alice Jacob, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Warwick, Rhode Island. Her current practice location is 186 Providence St, West Warwick, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 615-2800.

Alice Jacob is licensed to practice in Rhode Island (license number APRN02527) 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 1639705916.

Contact Information

Alice Jacob,
186 Providence St,
West Warwick, RI 02893-2508
(401) 615-2800
Not Available

Map and Direction




Provider's Profile

Full NameAlice Jacob
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location186 Providence St, West Warwick, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639705916
  • Provider Enumeration Date: 03/18/2020
  • Last Update Date: 10/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537575352
  • Enrollment ID: I20210302003120

Medical Identifiers

Medical identifiers for Alice Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639705916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN49456 (Rhode Island)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN02527 (Rhode Island)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. Alice Jacob allows following entities to bill medicare on her behalf.
Entity NameThe Providence Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104847946
PECOS PAC ID: 9739080292
Enrollment ID: O20040116000840
Entity NameThundermist Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700041001
PECOS PAC ID: 1557270477
Enrollment ID: O20040211000909

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. Alice 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
Alice Jacob,
186 Providence St,
West Warwick, RI 02893-2508

Ph: (401) 615-2800		Alice Jacob,
186 Providence St,
West Warwick, RI 02893-2508

Ph: (401) 615-2800

Reviews and Comments


Nurse Practitioner Nurses in West Warwick, RI

Mary Rose, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 186 Providence Street, West Warwick, RI 02893
Phone: 401-767-4100    
Jessica Cardillo Douglas, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2800    Fax: 401-615-2805
Dr. Jenna S. Venditto, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2800    Fax: 401-615-2805
Kelly E Albro, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2800    
Leanne Myatt, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 186 Providence St, West Warwick, RI 02893
Phone: 401-615-2800    
Hollie Ann Colucci,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 215 Legris Ave, West Warwick, RI 02893
Phone: 401-234-6685    Fax: 401-250-9703
Mrs. Barbara J Forloney, PMHCNS, BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 310 Cowesett Ave, West Warwick, RI 02893
Phone: 401-323-6237    Fax: 401-274-0923

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.