Latha Jacob, NP in Addison, TX - Medicare Nurse Practitioner

Latha Jacob, NP is a medicare enrolled "Nurse Practitioner" in Addison, Texas. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ipc Pac Healthcare Services Of Texas Pllc and her current practice location is 14131 Midway Road, Suite 620, Addison, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 249-0200.

Latha Jacob is licensed to practice in Texas (license number 739362) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376826503.

Contact Information

	Latha Jacob, NP
	14131 Midway Road, Suite 620, Addison, TX 75001-3669
	(972) 249-0200
	(972) 249-0206

Map and Direction

Provider's Profile

Full Name	Latha Jacob
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	14131 Midway Road, Addison, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Latha Jacob graduated from nursing school in 2011

NPI Data:

NPI Number: 1376826503
Provider Enumeration Date: 09/23/2011
Last Update Date: 04/17/2013

Medicare PECOS Information:

PECOS PAC ID: 8022282532
Enrollment ID: I20111118000471

Medical Identifiers

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

Identifier	Type	State	Issuer
1376826503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	739362 (Texas)	Primary
163WR0400X	Registered Nurse - Rehabilitation	739362 (Texas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ipc Pac Healthcare Services Of Texas Pllc	1759676307	39

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. Latha Jacob allows following entities to bill medicare on her behalf.

Entity Name	Ipc Pac Healthcare Services Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194174201 PECOS PAC ID: 1759676307 Enrollment ID: O20160823000163

Entity Name	Nv Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210820003080

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. Latha Jacob 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
Latha Jacob, NP 14131 Midway Road, Suite 620, Addison, TX 75001-3669 Ph: (972) 249-0200	Latha Jacob, NP 14131 Midway Road, Suite 620, Addison, TX 75001-3669 Ph: (972) 249-0200

Reviews and Comments

Nurse Practitioner Nurses in Addison, TX

Melanie Jill Bebout, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Goodman Ave Apt 3304, Addison, TX 75001 Phone: 806-626-8014
Kate Megan Murphy, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17101 Dallas Pkwy, Addison, TX 75001 Phone: 469-248-3900 Fax: 469-206-0430
Ashley Krow, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Belt Line Rd Ste 124, Addison, TX 75001 Phone: 469-495-9126
Aliyah Waggner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15301 Spectrum Dr, Addison, TX 75001 Phone: 972-661-2273
Karla Teresa Beard, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15800 Dooley Rd Ste 100, Addison, TX 75001 Phone: 972-239-3849 Fax: 972-934-4969
Emily Ann Stanford, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16479 Dallas Pkwy Ste 320, Addison, TX 75001 Phone: 469-484-4260
Beatrice Gitau, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16750 Westgrove Dr Ste 100, Addison, TX 75001 Phone: 469-734-0291

Latha Jacob, NP - Medicare Nurse Practitioner in Addison, TX