Jacob Jewell, FNP-C in Saint Clair Shores, MI

Jacob Jewell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Saint Clair Shores, Michigan. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jawad A Shah, Md Pc and his current practice location is 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 771-4820.

Jacob Jewell is licensed to practice in Michigan (license number 4704301664) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902419104.

Contact Information

	Jacob Jewell, FNP-C
	20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203
	(586) 771-4820
	(586) 771-6620

Map and Direction

Provider's Profile

Full Name	Jacob Jewell
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	20952 E 12 Mile Rd Ste 200, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Jewell graduated from nursing school in 2020

NPI Data:

NPI Number: 1902419104
Provider Enumeration Date: 08/26/2020
Last Update Date: 09/22/2020

Medicare PECOS Information:

PECOS PAC ID: 6406276310
Enrollment ID: I20201014003866

Medical Identifiers

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

Identifier	Type	State	Issuer
1902419104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704301664 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Michigan Surgical Hospital Llc	Warren, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jawad A Shah, Md Pc	5799779633	58

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 Jewell allows following entities to bill medicare on his behalf.

Entity Name	Jawad A Shah, Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798

Entity Name	Michigan Institute Of Urology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194807693 PECOS PAC ID: 1052223492 Enrollment ID: O20050329001170

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 Jewell 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 Jewell, FNP-C 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820	Jacob Jewell, FNP-C 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 Ph: (586) 771-4820

Reviews and Comments

Nurse Practitioner Nurses in Saint Clair Shores, MI

Nicole Irene Back, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22213 Love St, Saint Clair Shores, MI 48082 Phone: 734-626-4672
Carrie L Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620
Jennifer Kulinski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080 Phone: 586-945-5088
Mrs. Ayesha Massey Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656
Meghan Martinovski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656
Mr. Ronald August Bonaventura Jr., Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22432 Harper Lake Ave, Saint Clair Shores, MI 48080 Phone: 586-557-8398
Patricia West, PHD, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080 Phone: 586-447-9070

Jacob Jewell, FNP-C - Medicare Nurse Practitioner in Saint Clair Shores, MI