Mrs Mary Deena Jacob, FNP in Allen, TX - Medicare Nurse Practitioner

Mrs Mary Deena Jacob, FNP is a medicare enrolled "Nurse Practitioner - Family" in Allen, Texas. Her current practice location is 411 E Mcdermott Dr Ste A, Allen, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 227-3464.

Mrs Mary Deena Jacob is licensed to practice in Texas (license number AP138925) 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 1518425982.

Contact Information

	Mrs Mary Deena Jacob, FNP
	411 E Mcdermott Dr Ste A, Allen, TX 75002-2854
	(972) 227-3464
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Deena Jacob
Gender	Female
Speciality	Nurse Practitioner - Family
Location	411 E Mcdermott Dr Ste A, Allen, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518425982
Provider Enumeration Date: 03/05/2019
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2668702002
Enrollment ID: I20190926002876

Medical Identifiers

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

Identifier	Type	State	Issuer
1518425982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP138925 (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 Mary Deena Jacob allows following entities to bill medicare on her behalf.

Entity Name	Aymancare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861955395 PECOS PAC ID: 2567798671 Enrollment ID: O20190727000048

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 Mary Deena 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 Mary Deena Jacob, FNP 1109,burnet Drive, Allen, TX 75002 Ph: (214) 901-5454	Mrs Mary Deena Jacob, FNP 411 E Mcdermott Dr Ste A, Allen, TX 75002-2854 Ph: (972) 227-3464

Reviews and Comments

Nurse Practitioner Nurses in Allen, TX

Susie Kim Ahn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 Central Expy N Ste 2240, Allen, TX 75013 Phone: 866-607-2308
Lindsay A Little, PA-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Raintree Cir Ste 250, Allen, TX 75013 Phone: 972-649-6644 Fax: 469-854-6224
Mireya Liss, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 E Bethany Dr Ste J130, Allen, TX 75002 Phone: 972-741-0484
Robin Kathleen Klein, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Raintree Cir Ste 130, Allen, TX 75013 Phone: 214-537-0703
Sandra Young, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 981 State Highway 121 Ste 1140, Allen, TX 75013 Phone: 469-697-5100 Fax: 469-697-5105
Nicole Gee, MSN, APRN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Central Expy N, Allen, TX 75013 Phone: 214-343-6663 Fax: 214-343-2814
Vivian Tien Tran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 614 S Watters Rd Ste 101, Allen, TX 75013 Phone: 214-509-3623 Fax: 214-509-3620

Mrs Mary Deena Jacob, FNP - Medicare Nurse Practitioner in Allen, TX