Lija Jacob, NP in Longwood, FL - Medicare Nurse Practitioner

Lija Jacob, NP is a medicare enrolled "Nurse Practitioner - Family" in Longwood, Florida. Her current practice location is 1908 Boothe Cir, Longwood, Florida. You can reach out to her office (for appointments etc.) via phone at (844) 665-4827.

Lija Jacob is licensed to practice in Florida (license number APRN11007049) 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 1083184469.

Contact Information

	Lija Jacob, NP
	1908 Boothe Cir, Longwood, FL 32750-6774
	(844) 665-4827
	Not Available

Map and Direction

Provider's Profile

Full Name	Lija Jacob
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1908 Boothe Cir, Longwood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083184469
Provider Enumeration Date: 11/28/2018
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6103161575
Enrollment ID: I20220826003088

Medical Identifiers

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

Identifier	Type	State	Issuer
1083184469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11007049 (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. Lija Jacob allows following entities to bill medicare on her behalf.

Entity Name	Guidewell Sanitas I, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073

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. Lija 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
Lija Jacob, NP 8400 Nw 33rd St Ste 201, Doral, FL 33122-1937 Ph: (844) 665-4827	Lija Jacob, NP 1908 Boothe Cir, Longwood, FL 32750-6774 Ph: (844) 665-4827

Reviews and Comments

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Lija Jacob, NP - Medicare Nurse Practitioner in Longwood, FL