Mrs Ancy Chakkalakal Jacob, FNP-C - Medicare Nurse Practitioner in Chicago, IL

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Mrs Ancy Chakkalakal Jacob, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cook County and her current practice location is 1969 W Ogden Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 864-4395.

Mrs Ancy Chakkalakal Jacob is licensed to practice in Illinois (license number 209.011429) 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 1457779639.

Contact Information

Mrs Ancy Chakkalakal Jacob, FNP-C
1969 W Ogden Ave,
Chicago, IL 60612-3765
(312) 864-4395
(312) 864-9500

Map and Direction




Provider's Profile

Full NameMrs Ancy Chakkalakal Jacob
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1969 W Ogden Ave, Chicago, Illinois
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:
  • Mrs Ancy Chakkalakal Jacob graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1457779639
  • Provider Enumeration Date: 04/03/2014
  • Last Update Date: 04/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284857863
  • Enrollment ID: I20140529001156

Medical Identifiers

Medical identifiers for Mrs Ancy Chakkalakal Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457779639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.011429 (Illinois)Primary
163WH1000XRegistered Nurse - Hospice 041-306342 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cook County2860398088645

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 Ancy Chakkalakal Jacob allows following entities to bill medicare on her behalf.
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747
Entity NameMidwest Palliative & Hospice Carecenter
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457335838
PECOS PAC ID: 5799678975
Enrollment ID: O20040213000044

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 Ancy Chakkalakal 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 AddressPractice Location Address
Mrs Ancy Chakkalakal Jacob, FNP-C
1950 W Polst St. Professional Building, 6 Th Fl. # 17,
Chicago, IL 60612

Ph: (312) 864-4395		Mrs Ancy Chakkalakal Jacob, FNP-C
1969 W Ogden Ave,
Chicago, IL 60612-3765

Ph: (312) 864-4395

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).

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