Lori A Jacobs, FNP-C - Medicare Nurse Practitioner in Toledo, OH

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Lori A Jacobs, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Toledo, Ohio. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southgate Urgent Care Pc, Adrian Urgent Care Pllc, Prospect Urgent Care Llc and her current practice location is 4405 N Holland Sylvania Rd, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 517-0146.

Lori A Jacobs is licensed to practice in Florida (license number 11011969) 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 1154890085.

Contact Information

Lori A Jacobs, FNP-C
4405 N Holland Sylvania Rd,
Toledo, OH 43623-3529
(419) 517-0146
Not Available

Map and Direction




Provider's Profile

Full NameLori A Jacobs
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location4405 N Holland Sylvania Rd, Toledo, Ohio
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:
  • Lori A Jacobs graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1154890085
  • Provider Enumeration Date: 11/20/2018
  • Last Update Date: 07/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092115022
  • Enrollment ID: I20210614002005

Medical Identifiers

Medical identifiers for Lori A Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154890085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 199127 (Ohio)Secondary
363LF0000XNurse Practitioner - Family 4704184898NSA2103P (Michigan)Secondary
363LF0000XNurse Practitioner - Family 11011969 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southgate Urgent Care Pc014323717210
Adrian Urgent Care Pllc51930454259
Prospect Urgent Care Llc45870962277

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. Lori A Jacobs allows following entities to bill medicare on her behalf.
Entity NameWoodland Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841299435
PECOS PAC ID: 1456336965
Enrollment ID: O20040621000138
Entity NameWarren Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972503902
PECOS PAC ID: 5496799751
Enrollment ID: O20050616001137
Entity NameSouthgate Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902904436
PECOS PAC ID: 0143237172
Enrollment ID: O20060315000460
Entity NameAdrian Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003204769
PECOS PAC ID: 5193045425
Enrollment ID: O20150527002240
Entity NameGreater Toledo Urgent Cares Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982993010
PECOS PAC ID: 3577749811
Enrollment ID: O20200930003288

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. Lori A 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
Lori A Jacobs, FNP-C
5646 Kylie Ct,
Sylvania, OH 43560-9910

Ph: (419) 466-0001		Lori A Jacobs, FNP-C
4405 N Holland Sylvania Rd,
Toledo, OH 43623-3529

Ph: (419) 517-0146

Reviews and Comments


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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.