Mrs Lisa Marie Jacobs, APRN is a medicare enrolled "Nurse Practitioner" in Pleasant Plain, Ohio. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Trusted Health Care Inc and her current practice location is
6757 Garrison Spurling Rd, Pleasant Plain, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 259-6094.
Mrs Lisa Marie Jacobs is licensed to practice in Ohio (license number 29297) 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 1871848176.
Provider's Profile
Full Name | Mrs Lisa Marie Jacobs |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 6757 Garrison Spurling Rd, Pleasant Plain, Ohio |
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Accepts Medicare Assignments | Yes. 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 Lisa Marie Jacobs graduated from nursing school in 2021
NPI Data:
- NPI Number: 1871848176
- Provider Enumeration Date: 07/23/2012
- Last Update Date: 08/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476950809
- Enrollment ID: I20210927003208
Medical Identifiers
Medical identifiers for Mrs Lisa Marie Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871848176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 29297 (Ohio) | Primary |
163W00000X | Registered Nurse | 329999 (Ohio) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Trusted Health Care Inc | 1557380847 | 2 |
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 Lisa Marie Jacobs allows following entities to bill medicare on her behalf.
Entity Name | Trusted Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093892028 PECOS PAC ID: 1557380847 Enrollment ID: O20051116000231 |
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Entity Name | Cg Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982903951 PECOS PAC ID: 6608052196 Enrollment ID: O20110518000216 |
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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 Lisa Marie Jacobs 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 Lisa Marie Jacobs, APRN 6757 Garrison Spurling Rd, Pleasant Plain, OH 45162-9301 Ph: (513) 259-6094 | Mrs Lisa Marie Jacobs, APRN 6757 Garrison Spurling Rd, Pleasant Plain, OH 45162-9301 Ph: (513) 259-6094 |
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