Lisa Jacobs, PMHNP - Medicare Nurse Practitioner in Bangor, ME

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Lisa Jacobs, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bangor, Maine. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eastport Health Care, Inc and her current practice location is 268 Stillwater Ave, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 973-7306.

Lisa Jacobs is licensed to practice in Maine (license number R038704) 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 1568554186.

Contact Information

Lisa Jacobs, PMHNP
268 Stillwater Ave,
Bangor, ME 04401-3945
(207) 973-7306
(207) 973-6109

Map and Direction




Provider's Profile

Full NameLisa Jacobs
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location268 Stillwater Ave, Bangor, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Jacobs graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1568554186
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 09/04/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3870482672
  • Enrollment ID: I20151002001914

Medical Identifiers

Medical identifiers for Lisa Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568554186NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R038704 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Calais Regional HospitalCalais, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eastport Health Care, Inc35775928809

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. Lisa Jacobs allows following entities to bill medicare on her behalf.
Entity NameBridgton Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154370153
PECOS PAC ID: 8123919099
Enrollment ID: O20040322000534
Entity NameAcadia Hospital Corp.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215940523
PECOS PAC ID: 7719878495
Enrollment ID: O20040323000136
Entity NameCentral Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689653487
PECOS PAC ID: 2567379563
Enrollment ID: O20040324000441
Entity NameRumford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205991122
PECOS PAC ID: 3870583511
Enrollment ID: O20040514000890
Entity NameEastern Maine Healthcare Systems Inland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376579557
PECOS PAC ID: 6305817503
Enrollment ID: O20040802001656
Entity NameEastport Health Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093752917
PECOS PAC ID: 3577592880
Enrollment ID: O20050808000284
Entity NameBlue Hill Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023057809
PECOS PAC ID: 7911991336
Enrollment ID: O20080312000055

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. Lisa Jacobs 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
Lisa Jacobs, PMHNP
21823 E Sandy Hill Ln,
South Bend, IN 46628-9518

Ph: (574) 807-5145		Lisa Jacobs, PMHNP
268 Stillwater Ave,
Bangor, ME 04401-3945

Ph: (207) 973-7306

Reviews and Comments


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Phone: 207-973-6100    Fax: 207-973-6109
Maegan L Woodman, FNPC
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Mrs. Alexandria Elizabeth Redmond,
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Practice Location: 302 Husson Ave, #2, Bangor, ME 04401
Phone: 207-941-2373    Fax: 207-941-8803

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.