Geetha Jacob, NP - Medicare Nurse Practitioner in Fort Worth, TX

  1. Home
  2. Nurse Practitioner
  3. TX
  4. Fort Worth
Geetha Jacob, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Worth, Texas. Her current practice location is 1301 Pennsylvania Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 250-4906.

Geetha Jacob is licensed to practice in Texas (license number AP131595) 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 1356898381.

Contact Information

Geetha Jacob, NP
1301 Pennsylvania Ave,
Fort Worth, TX 76104-2122
(817) 250-4906
Not Available

Map and Direction




Provider's Profile

Full NameGeetha Jacob
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1301 Pennsylvania Ave, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356898381
  • Provider Enumeration Date: 09/07/2016
  • Last Update Date: 10/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2860770120
  • Enrollment ID: I20161021000196

Medical Identifiers

Medical identifiers for Geetha Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356898381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care AP131595 (Texas)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. Geetha Jacob allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NameIpc Pac Healthcare Services Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326497587
PECOS PAC ID: 4587950589
Enrollment ID: O20160830002898
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666
Entity NameHospitalist Medicine Physicians Of Missouri - Richmond Heights Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265911440
PECOS PAC ID: 2961753975
Enrollment ID: O20181001001336
Entity NameHospitalist Medicine Physicians Of Missouri - Bridgeton, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275012452
PECOS PAC ID: 2567713571
Enrollment ID: O20181001001537

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. Geetha 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
Geetha Jacob, NP
1301 Pennsylvania Ave,
Fort Worth, TX 76104-2122

Ph: (817) 250-4906		Geetha Jacob, NP
1301 Pennsylvania Ave,
Fort Worth, TX 76104-2122

Ph: (817) 250-4906

Reviews and Comments


Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114
Phone: 817-624-1770    Fax: 817-625-1287
Valerie Elise Ward, RN, CPNP-PC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2755 Miller Ave, Fort Worth, TX 76105
Phone: 817-534-7110    Fax: 817-413-0521
Maria Sybil Gagliano, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132
Phone: 866-389-2727    
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

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.