Jacob Connelly, in Cape Coral, FL - Medicare Nurse Practitioner

Jacob Connelly, is a medicare enrolled "Nurse Practitioner - Family" in Cape Coral, Florida. His current practice location is 737 Cape Coral Pkwy E, Cape Coral, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 542-0512.

Jacob Connelly is licensed to practice in Florida (license number 11005429) 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 1790147593.

Contact Information

	Jacob Connelly,
	737 Cape Coral Pkwy E, Cape Coral, FL 33904-8551
	(239) 542-0512
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Connelly
Gender	Male
Speciality	Nurse Practitioner - Family
Location	737 Cape Coral Pkwy E, Cape Coral, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790147593
Provider Enumeration Date: 03/22/2016
Last Update Date: 07/28/2020

Medicare PECOS Information:

PECOS PAC ID: 5395164933
Enrollment ID: I20200930002323

Medical Identifiers

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

Identifier	Type	State	Issuer
1790147593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN 9409391 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	11005429 (Florida)	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 Connelly allows following entities to bill medicare on his behalf.

Entity Name	Minuteclinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070217000007

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 Connelly 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 Connelly, 737 Cape Coral Pkwy E, Cape Coral, FL 33904-8551 Ph: () -	Jacob Connelly, 737 Cape Coral Pkwy E, Cape Coral, FL 33904-8551 Ph: (239) 542-0512

Reviews and Comments

Nurse Practitioner Nurses in Cape Coral, FL

Yamell Martin Perez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Se 21st Ter, Cape Coral, FL 33990 Phone: 239-888-0508
Diana Acosta Romero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3501 Del Prado Blvd S Ste 303, Cape Coral, FL 33904 Phone: 239-317-0265 Fax: 239-673-7681
Zunia Garcia Padron, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Nw 17th St, Cape Coral, FL 33993 Phone: 239-245-0010
Haney Sosa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 Nw 20th St, Cape Coral, FL 33993 Phone: 239-308-8918
Kelsie Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 7, Cape Coral, FL 33990 Phone: 239-424-3660 Fax: 239-424-3663
Nadeige Sylvie Jean-jules, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 737 Cape Coral Pkwy E, Cape Coral, FL 33904 Phone: 239-542-0512
Mauricio Tejada Valencia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1528 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-458-3338 Fax: 239-458-0666

Jacob Connelly, - Medicare Nurse Practitioner in Cape Coral, FL