Mrs Jeena Jacob, PNP in Dallas, TX - Medicare Nurse Practitioner

Mrs Jeena Jacob, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Dallas, Texas. Her current practice location is 916 Wynnewood Shp Ctr, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 941-7611.

Mrs Jeena Jacob is licensed to practice in Texas (license number 720013) 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 1073893731.

Contact Information

	Mrs Jeena Jacob, PNP
	916 Wynnewood Shp Ctr, Dallas, TX 75224-1833
	(214) 941-7611
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jeena Jacob
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	916 Wynnewood Shp Ctr, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073893731
Provider Enumeration Date: 08/25/2011
Last Update Date: 08/25/2011

Medicare PECOS Information:

PECOS PAC ID: 0143481630
Enrollment ID: I20120410000314

Medical Identifiers

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

Identifier	Type	State	Issuer
1073893731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	720013 (Texas)	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 Jeena Jacob allows following entities to bill medicare on her 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	Dallas Physician Medical Services For Children Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673

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 Jeena 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
Mrs Jeena Jacob, PNP 2329 Amesbury Dr, Mesquite, TX 75150-5805 Ph: (214) 405-0724	Mrs Jeena Jacob, PNP 916 Wynnewood Shp Ctr, Dallas, TX 75224-1833 Ph: (214) 941-7611

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

Mrs Jeena Jacob, PNP - Medicare Nurse Practitioner in Dallas, TX