Mrs Sunitha Jacob, in West Haverstraw, NY - Medicare Nurse Practitioner

Mrs Sunitha Jacob, is a medicare enrolled "Nurse Practitioner - Primary Care" in West Haverstraw, New York. Her current practice location is 51-55 N Route 9w, West Haverstraw, New York. You can reach out to her office (for appointments etc.) via phone at (845) 786-4000.

Mrs Sunitha Jacob is licensed to practice in New York (license number F353417) 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 1003673948.

Contact Information

	Mrs Sunitha Jacob,
	51-55 N Route 9w, West Haverstraw, NY 10993-1195
	(845) 786-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sunitha Jacob
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	51-55 N Route 9w, West Haverstraw, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003673948
Provider Enumeration Date: 03/05/2024
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3779924436
Enrollment ID: I20240513000376

Medical Identifiers

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

Identifier	Type	State	Issuer
1003673948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	F353417 (New York)	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 Sunitha Jacob allows following entities to bill medicare on her behalf.

Entity Name	Genesis Medical Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295043099 PECOS PAC ID: 9032308267 Enrollment ID: O20110104000820

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 Sunitha 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 Sunitha Jacob, 139 Blauvelt Rd, Nanuet, NY 10954-3601 Ph: (914) 426-0159	Mrs Sunitha Jacob, 51-55 N Route 9w, West Haverstraw, NY 10993-1195 Ph: (845) 786-4000

Reviews and Comments

Nurse Practitioner Nurses in West Haverstraw, NY

Dr. Dayle Marie Butler, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 89 South Rt 9w, West Haverstraw, NY 10993 Phone: 845-422-8181 Fax: 866-981-2761
Saphira Saudith Linares, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 89 S Route 9w, West Haverstraw, NY 10993 Phone: 845-429-4000
Mrs. Miria Prasad-philip, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Helen Hayes Hospital, 51-55 Us-w, West Haverstraw, NY 10993 Phone: 845-786-4000
Mrs. Kathleen Nicpon, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 51 N Route 9w, West Haverstraw, NY 10993 Phone: 845-786-4109 Fax: 845-786-4526
Sweety John, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 51-55 Route 9w, West Haverstraw, NY 10993 Phone: 458-786-4829
Dr. Graig Scott Straus, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 89 S Route 9w, West Haverstraw, NY 10993 Phone: 845-429-4000 Fax: 845-429-4022

Mrs Sunitha Jacob, - Medicare Nurse Practitioner in West Haverstraw, NY