Kaisa T Jacobsen, NP in Peoria, AZ - Medicare Nurse Practitioner

Kaisa T Jacobsen, NP is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Arizona. Her current practice location is 8088 W Whitney Dr, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at (920) 264-4130.

Kaisa T Jacobsen is licensed to practice in Arizona (license number 297002) 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 1316725260.

Contact Information

	Kaisa T Jacobsen, NP
	8088 W Whitney Dr, Peoria, AZ 85345-6564
	(920) 264-4130
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaisa T Jacobsen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8088 W Whitney Dr, Peoria, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316725260
Provider Enumeration Date: 09/20/2023
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8022463934
Enrollment ID: I20231012003113

Medical Identifiers

Medical identifiers for Kaisa T Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316725260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	297002 (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. Kaisa T Jacobsen allows following entities to bill medicare on her behalf.

Entity Name	Maricopa County Special Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073576740 PECOS PAC ID: 4688583651 Enrollment ID: O20031204000823

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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. Kaisa T 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 Address	Practice Location Address
Kaisa T Jacobsen, NP 1313 N 2nd St Apt 1420, Phoenix, AZ 85004-1770 Ph: () -	Kaisa T Jacobsen, NP 8088 W Whitney Dr, Peoria, AZ 85345-6564 Ph: (920) 264-4130

Reviews and Comments

Nurse Practitioner Nurses in Peoria, AZ

Diana Sun Bone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9947 West Happy Valley Parkway, # 104, Peoria, AZ 85383 Phone: 623-434-5748 Fax: 623-566-9665
Kimberly Ann Flores, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12118 W Avenida Del Rey, Peoria, AZ 85383 Phone: 419-357-0958
Jania N Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16155 N 83rd Ave Ste 211, Peoria, AZ 85382 Phone: 801-369-8989
Mr. Matthew S Burrows, APRN-NP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168
Jessica Rivera, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8101 W Louise Dr, Peoria, AZ 85383 Phone: 602-327-2421 Fax: 602-297-6964
Kimia Robinson, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168
Mindy Rose Magoon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9815 W Keyser Dr, Peoria, AZ 85383 Phone: 602-332-1519

Kaisa T Jacobsen, NP - Medicare Nurse Practitioner in Peoria, AZ