Ms Kathy Ann Jacobson, PMHNP-BC in Yuma, AZ - Medicare Nurse Practitioner

Ms Kathy Ann Jacobson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Yuma, Arizona. Her current practice location is 275 W 17th Pl, Yuma, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 344-8800.

Ms Kathy Ann Jacobson is licensed to practice in Arizona (license number 266614) 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 1982361127.

Contact Information

	Ms Kathy Ann Jacobson, PMHNP-BC
	275 W 17th Pl, Yuma, AZ 85364-5705
	(928) 344-8800
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kathy Ann Jacobson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	275 W 17th Pl, Yuma, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982361127
Provider Enumeration Date: 11/22/2021
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 1153795596
Enrollment ID: I20230324002664

Medical Identifiers

Medical identifiers for Ms Kathy Ann Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982361127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	266614 (Arizona)	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 Kathy Ann Jacobson allows following entities to bill medicare on her behalf.

Entity Name	Pinal Hispanic Council
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235271404 PECOS PAC ID: 4981742434 Enrollment ID: O20091104000052

Entity Name	Community Partners Integrated Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669897385 PECOS PAC ID: 7315163938 Enrollment ID: O20140716002626

Entity Name	Intermountain Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609245273 PECOS PAC ID: 7113253659 Enrollment ID: O20190722003187

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 Kathy Ann Jacobson 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 Kathy Ann Jacobson, PMHNP-BC 2462 S Terrace Ave, Yuma, AZ 85365-1108 Ph: (928) 261-9268	Ms Kathy Ann Jacobson, PMHNP-BC 275 W 17th Pl, Yuma, AZ 85364-5705 Ph: (928) 344-8800

Reviews and Comments

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Ms. Apryl Alexandra Sharon Thomas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11518 N Frontage Rd, Yuma, AZ 85367 Phone: 928-342-6500 Fax: 928-342-6863

Ms Kathy Ann Jacobson, PMHNP-BC - Medicare Nurse Practitioner in Yuma, AZ