Daisy Sobha Jacob, in Fort Worth, TX - Medicare Nurse Practitioner

Daisy Sobha Jacob, is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acclaim Physician Group Inc and her current practice location is 1500 S Main St Fl 4, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 702-1215.

Daisy Sobha Jacob is licensed to practice in Texas (license number AP137437) 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 1871075119.

Contact Information

	Daisy Sobha Jacob,
	1500 S Main St Fl 4, Fort Worth, TX 76104-4917
	(817) 702-1215
	(817) 927-6843

Map and Direction

Provider's Profile

Full Name	Daisy Sobha Jacob
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1500 S Main St Fl 4, Fort Worth, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Daisy Sobha Jacob graduated from nursing school in 2017

NPI Data:

NPI Number: 1871075119
Provider Enumeration Date: 09/04/2018
Last Update Date: 07/02/2019

Medicare PECOS Information:

PECOS PAC ID: 0941539522
Enrollment ID: I20190906001585

Medical Identifiers

Medical identifiers for Daisy Sobha Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871075119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	734278 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP137437 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP137437 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jps Health Network	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acclaim Physician Group Inc	4587963582	442

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. Daisy Sobha Jacob allows following entities to bill medicare on her behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Daisy Sobha 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 Address	Practice Location Address
Daisy Sobha Jacob, Po Box 732973, Dallas, TX 75373-2973 Ph: () -	Daisy Sobha Jacob, 1500 S Main St Fl 4, Fort Worth, TX 76104-4917 Ph: (817) 702-1215

Reviews and Comments

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Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Daisy Sobha Jacob, - Medicare Nurse Practitioner in Fort Worth, TX