Mary Beth Jacobs, LPN is a
Licensed Practical Nurse based in Mount Holly, Vermont. Mary Beth Jacobs is licensed to practice in Vermont (license number 025.0135719) and her current practice location is
680 Russellville Rd, Mount Holly, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 345-6559.
NPI number for Mary Beth Jacobs is 1821804212 and her current mailing address is 1642 Vt Route 103 N, Mount Holly, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821804212.
Provider's Profile
| Full Name | Mary Beth Jacobs |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 680 Russellville Rd, Mount Holly, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821804212
- Provider Enumeration Date: 12/10/2024
- Last Update Date: 12/10/2024
Medical Identifiers
Medical identifiers for Mary Beth Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821804212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 025.0135719 (Vermont) | Primary |
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. Mary Beth Jacobs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Beth Jacobs, LPN
1642 Vt Route 103 N,
Mount Holly, VT 05758-9556
Ph: (802) 345-6559 | Mary Beth Jacobs, LPN
680 Russellville Rd,
Mount Holly, VT 05758-9583
Ph: (802) 345-6559 |
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