Mark Jacob, FNP in Dallas, TX - Medicare Nurse Practitioner

Mark Jacob, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Texas. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Texas Health Urgent Care, University Of Texas Southwestern Medical Center, Century Integrated Partners, Inc and his current practice location is 13737 Noel Rd, Suite 1200, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 712-2000.

Mark Jacob is licensed to practice in Texas (license number AP130611) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306126032.

Contact Information

	Mark Jacob, FNP
	13737 Noel Rd, Suite 1200, Dallas, TX 75240-1331
	(214) 712-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark Jacob
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	13737 Noel Rd, Dallas, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Jacob graduated from nursing school in 2015

NPI Data:

NPI Number: 1306126032
Provider Enumeration Date: 08/25/2011
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8820379241
Enrollment ID: I20161227000041

Medical Identifiers

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

Identifier	Type	State	Issuer
1306126032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP130611 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White Medical Center- Waxahachie	Waxahachie, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Health Urgent Care	0345654414	102
University Of Texas Southwestern Medical Center	0648188250	2569
Century Integrated Partners, Inc	6406151703	231

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. Mark Jacob allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

Entity Name	Century Integrated Partners, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152

Entity Name	Texas Health Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952915365 PECOS PAC ID: 0345654414 Enrollment ID: O20210506000184

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. Mark 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
Mark Jacob, FNP 13737 Noel Rd, Suite 1200, Dallas, TX 75240 Ph: () -	Mark Jacob, FNP 13737 Noel Rd, Suite 1200, Dallas, TX 75240-1331 Ph: (214) 712-2000

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Mark Jacob, FNP - Medicare Nurse Practitioner in Dallas, TX