Ms Etsuko Takehana Jacobs, NP in San Fernando, CA

Ms Etsuko Takehana Jacobs, NP is a medicare enrolled "Nurse Practitioner - Family" in San Fernando, California. Her current practice location is 1600 San Fernando Rd, San Fernando, California. You can reach out to her office (for appointments etc.) via phone at (818) 365-8086.

Ms Etsuko Takehana Jacobs is licensed to practice in California (license number 95010027) 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 1316422017.

Contact Information

	Ms Etsuko Takehana Jacobs, NP
	1600 San Fernando Rd, San Fernando, CA 91340-3115
	(818) 365-8086
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Etsuko Takehana Jacobs
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1600 San Fernando Rd, San Fernando, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316422017
Provider Enumeration Date: 09/27/2018
Last Update Date: 09/27/2018

Medicare PECOS Information:

PECOS PAC ID: 4486992153
Enrollment ID: I20190205003325

Medical Identifiers

Medical identifiers for Ms Etsuko Takehana Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316422017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95010027 (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. Ms Etsuko Takehana Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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. Ms Etsuko Takehana 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
Ms Etsuko Takehana Jacobs, NP 1600 San Fernando Rd, San Fernando, CA 91340-3115 Ph: (714) 853-3321	Ms Etsuko Takehana Jacobs, NP 1600 San Fernando Rd, San Fernando, CA 91340-3115 Ph: (818) 365-8086

Reviews and Comments

Nurse Practitioner Nurses in San Fernando, CA

Ms. Rebecca Lee Cross, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Rd, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Tiffany Rose Leano Ynoquio, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 732 Mott St, San Fernando, CA 91340 Phone: 818-963-5690 Fax: 818-365-0726
Elizabeth Maria Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 732 Mott St # 100-110, San Fernando, CA 91340 Phone: 818-963-5690
Ms. Kathryn Roene Steffen, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Rd., San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Aura Veliz, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 N Maclay Ave, Suite 104, San Fernando, CA 91340 Phone: 818-361-3318 Fax: 818-361-7309
Mrs. Rowena Reyes Alcantara-fernandez, N.P. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1600 San Fernando Road, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826
Ani Balabegian, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 732 Mott St Ste 100, San Fernando, CA 91340 Phone: 951-784-0018 Fax: 951-784-0815

Ms Etsuko Takehana Jacobs, NP - Medicare Nurse Practitioner in San Fernando, CA