Mrs Sue S Jacobs, CNM is a medicare enrolled "Advanced Practice Midwife" in Union City, California. Her current practice location is
33255 9th St, Union City, California. You can reach out to her office (for appointments etc.) via phone at
(510) 471-5880.
Mrs Sue S Jacobs is licensed to practice in California (license number NMW912) 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 1295724458.
Provider's Profile
| Full Name | Mrs Sue S Jacobs |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 33255 9th St, Union City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295724458
- Provider Enumeration Date: 10/19/2005
- Last Update Date: 10/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 2264748128
- Enrollment ID: I20181022003199
Medical Identifiers
Medical identifiers for Mrs Sue S Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295724458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | NMW912 (California) | 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 Sue S Jacobs allows following entities to bill medicare on her behalf.
| Entity Name | La Clinica De La Raza Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144336181
PECOS PAC ID: 1557258282
Enrollment ID: O20040227001016 |
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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 Sue S 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 Sue S Jacobs, CNM
33255 9th St,
Union City, CA 94587-2137
Ph: (510) 471-5880 | Mrs Sue S Jacobs, CNM
33255 9th St,
Union City, CA 94587-2137
Ph: (510) 471-5880 |
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