Mrs Amy Michelle Jacobson, FNP in Phoenix, AZ

Mrs Amy Michelle Jacobson, FNP is a medicare enrolled "Nurse Practitioner" in Phoenix, Arizona. Her current practice location is 6627 W Via Dona Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 826-9701.

Mrs Amy Michelle Jacobson is licensed to practice in Arizona (license number RNP291277) 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 1922797075.

Contact Information

	Mrs Amy Michelle Jacobson, FNP
	6627 W Via Dona Rd, Phoenix, AZ 85083-7411
	(602) 826-9701
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amy Michelle Jacobson
Gender	Female
Speciality	Nurse Practitioner
Location	6627 W Via Dona Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922797075
Provider Enumeration Date: 05/04/2023
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 8123480464
Enrollment ID: I20230817002585

Medical Identifiers

Medical identifiers for Mrs Amy Michelle Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922797075	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RNP291277 (Arizona)	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. Mrs Amy Michelle Jacobson allows following entities to bill medicare on her behalf.

Entity Name	Banner Urgent Care Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316349855 PECOS PAC ID: 3678749496 Enrollment ID: O20111228000784

Entity Name	Banner Urgent Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609229764 PECOS PAC ID: 4284921610 Enrollment ID: O20160928001188

Entity Name	Aleracare Aic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124735063 PECOS PAC ID: 8325419005 Enrollment ID: O20230116000785

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. Mrs Amy Michelle Jacobson 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
Mrs Amy Michelle Jacobson, FNP 6627 W Via Dona Rd, Phoenix, AZ 85083-7411 Ph: (602) 826-9701	Mrs Amy Michelle Jacobson, FNP 6627 W Via Dona Rd, Phoenix, AZ 85083-7411 Ph: (602) 826-9701

Reviews and Comments

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Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Mrs Amy Michelle Jacobson, FNP - Medicare Nurse Practitioner in Phoenix, AZ