Jacob Carpenter, FNP-C in Lancaster, CA - Medicare Nurse Practitioner

Jacob Carpenter, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lancaster, California. His current practice location is 45104 10th St W, Lancaster, California. You can reach out to his office (for appointments etc.) via phone at (661) 942-2391.

Jacob Carpenter is licensed to practice in California (license number 95004394) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295199263.

Contact Information

	Jacob Carpenter, FNP-C
	45104 10th St W, Lancaster, CA 93534-2310
	(661) 942-2391
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Carpenter
Gender	Male
Speciality	Nurse Practitioner - Family
Location	45104 10th St W, Lancaster, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295199263
Provider Enumeration Date: 04/06/2016
Last Update Date: 07/03/2016

Medicare PECOS Information:

PECOS PAC ID: 9537447610
Enrollment ID: I20161024002375

Medical Identifiers

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

Identifier	Type	State	Issuer
1295199263	NPI	-	NPPES
95004394	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95004394 (California)	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. Jacob Carpenter allows following entities to bill medicare on his behalf.

Entity Name	Mathias Primary Care Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508524083 PECOS PAC ID: 0345633046 Enrollment ID: O20220201001736

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. Jacob Carpenter 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
Jacob Carpenter, FNP-C 45104 10th St W, Lancaster, CA 93534-2310 Ph: (661) 942-2391	Jacob Carpenter, FNP-C 45104 10th St W, Lancaster, CA 93534-2310 Ph: (661) 942-2391

Reviews and Comments

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Jacob Carpenter, FNP-C - Medicare Nurse Practitioner in Lancaster, CA