Anjana Mary Jacob, - Medicare Nurse Practitioner in Memphis, TN

Anjana Mary Jacob, is a medicare enrolled "Nurse Practitioner - Family" in Memphis, Tennessee. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ut Methodist Physicians Llc and her current practice location is 1719 Kirby Pkwy, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 685-1994.

Anjana Mary Jacob is licensed to practice in Tennessee (license number 26607) 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 1942842752.

Contact Information

Anjana Mary Jacob,
1719 Kirby Pkwy,
Memphis, TN 38120-4367
(901) 685-1994
Not Available

Map and Direction




Provider's Profile

Full NameAnjana Mary Jacob
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1719 Kirby Pkwy, Memphis, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anjana Mary Jacob graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1942842752
  • Provider Enumeration Date: 10/14/2019
  • Last Update Date: 10/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517377831
  • Enrollment ID: I20201027002908

Medical Identifiers

Medical identifiers for Anjana Mary Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942842752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26607 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Healthcare Memphis HospitalsMemphis, TNHospital
Methodist Healthcare - Olive Branch HospitalOlive branch, MSHospital
Baptist Memorial Hospital Union CityUnion city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Methodist Physicians Llc276962366970

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. Anjana Mary Jacob allows following entities to bill medicare on her behalf.
Entity NameThe Little Clinic Of Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487848800
PECOS PAC ID: 4688762800
Enrollment ID: O20080326000339
Entity NameUt Methodist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427317908
PECOS PAC ID: 2769623669
Enrollment ID: O20130718000263

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. Anjana Mary 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
Anjana Mary Jacob,
3324 Chimney Top Dr N Apt 201,
Memphis, TN 38119-2536

Ph: (901) 212-9306
Anjana Mary Jacob,
1719 Kirby Pkwy,
Memphis, TN 38120-4367

Ph: (901) 685-1994

Reviews and Comments


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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.