Jami Mary Elizabeth Jacobsen, FNP - Medicare Family Medicine in Casa Grande, AZ

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Jami Mary Elizabeth Jacobsen, FNP is a medicare enrolled "Family Medicine" in Casa Grande, Arizona. Her current practice location is 1550 E Florence Blvd Ste 104, Casa Grande, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 483-1698.

Jami Mary Elizabeth Jacobsen is licensed to practice in Arizona (license number 219044) 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 1609344464.

Contact Information

Jami Mary Elizabeth Jacobsen, FNP
1550 E Florence Blvd Ste 104,
Casa Grande, AZ 85122-4788
(520) 483-1698
Not Available

Map and Direction




Provider's Profile

Full NameJami Mary Elizabeth Jacobsen
GenderFemale
SpecialityFamily Medicine
Location1550 E Florence Blvd Ste 104, Casa Grande, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609344464
  • Provider Enumeration Date: 11/08/2018
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284960741
  • Enrollment ID: I20190723000596

Medical Identifiers

Medical identifiers for Jami Mary Elizabeth Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609344464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 219044 (Arizona)Secondary
207Q00000XFamily Medicine 219044 (Arizona)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. Jami Mary Elizabeth Jacobsen allows following entities to bill medicare on her behalf.
Entity NameRevive Health And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528742814
PECOS PAC ID: 5092179424
Enrollment ID: O20230918002893

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. Jami Mary Elizabeth Jacobsen 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
Jami Mary Elizabeth Jacobsen, FNP
1550 E Florence Blvd Ste 104,
Casa Grande, AZ 85122-4788

Ph: (520) 635-5318		Jami Mary Elizabeth Jacobsen, FNP
1550 E Florence Blvd Ste 104,
Casa Grande, AZ 85122-4788

Ph: (520) 483-1698

Reviews and Comments



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.