Mrs Sophiamma A Jacob, NP in Old Bridge, NJ - Medicare Nurse Practitioner

Mrs Sophiamma A Jacob, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Old Bridge, New Jersey. Her current practice location is 26 Throckmorton Ln, Old Bridge, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 679-9950.

Mrs Sophiamma A Jacob is licensed to practice in New Jersey (license number 26NJ00527100) 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 1326437856.

Contact Information

	Mrs Sophiamma A Jacob, NP
	26 Throckmorton Ln, Old Bridge, NJ 08857-2520
	(732) 679-9950
	(732) 679-9956

Map and Direction

Provider's Profile

Full Name	Mrs Sophiamma A Jacob
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	26 Throckmorton Ln, Old Bridge, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326437856
Provider Enumeration Date: 01/21/2015
Last Update Date: 01/21/2015

Medicare PECOS Information:

PECOS PAC ID: 4587984018
Enrollment ID: I20150522001015

Medical Identifiers

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

Identifier	Type	State	Issuer
1326437856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	26NJ00527100 (New Jersey)	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 Sophiamma A Jacob allows following entities to bill medicare on her behalf.

Entity Name	Rutgers Health-rwj Family Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780766527 PECOS PAC ID: 9032174271 Enrollment ID: O20041130000005

Entity Name	Nbimc Department Of Heart
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497712632 PECOS PAC ID: 9032176516 Enrollment ID: O20041216000172

Entity Name	Hackensack Meridian Health Medical Group - Primary Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000

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 Sophiamma A 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 Sophiamma A Jacob, NP 20 Goshawk Ct, Morganville, NJ 07751-1073 Ph: (732) 591-2255	Mrs Sophiamma A Jacob, NP 26 Throckmorton Ln, Old Bridge, NJ 08857-2520 Ph: (732) 679-9950

Reviews and Comments

Nurse Practitioner Nurses in Old Bridge, NJ

Mrs. Patricia K Zdan, RN, MSN, CCRN, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Marlboro Rd, Suite 1, Old Bridge, NJ 08857 Phone: 732-360-9600 Fax: 732-360-9700
Rincy Jacob, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 Throckmorton Ln, Old Bridge, NJ 08857 Phone: 732-679-9950
Keydella Fuller, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Angela Dr, Ste 202, Old Bridge, NJ 08857 Phone: 732-908-4522
Cassendra Lormil, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Hospital Plz Ste 208, Old Bridge, NJ 08857 Phone: 732-360-2700 Fax: 732-360-2703
Taylor Anne Bruns, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Woodcrest Dr, Old Bridge, NJ 08857 Phone: 347-850-5711
Irina Novikov, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3663 Route 9 North, Suite #103, Old Bridge, NJ 08857 Phone: 732-970-8700
Candice Robertson, MSN, APN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Angela Dr Suite 202, Old Bridge, NJ 08857 Phone: 732-908-4522

Mrs Sophiamma A Jacob, NP - Medicare Nurse Practitioner in Old Bridge, NJ