Ms Kristine Elizabeth Jacobson, RN, MSN, CCNS is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Wooster, Ohio. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Northern Ohio Medical Specialists Llc and her current practice location is
1761 Beall Ave, Wooster, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 263-8265.
Ms Kristine Elizabeth Jacobson is licensed to practice in Ohio (license number NS 09037) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245459684.
Provider's Profile
| Full Name | Ms Kristine Elizabeth Jacobson |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 18 Years |
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| Location | 1761 Beall Ave, Wooster, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kristine Elizabeth Jacobson graduated from nursing school in 2006
NPI Data:
- NPI Number: 1245459684
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658411426
- Enrollment ID: I20091230000012
Medical Identifiers
Medical identifiers for Ms Kristine Elizabeth Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245459684 | NPI | - | NPPES |
| NS 09037 | Other | OH | CERTIFICATE OF AUTHORITY |
| RN 301174 | Other | OH | RN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SA2100X | Clinical Nurse Specialist - Acute Care | APRN.CNS.09037 (Ohio) | Secondary |
| 364SC0200X | Clinical Nurse Specialist - Critical Care Medicine | NS 09037 (Ohio) | Secondary |
| 364SN0800X | Clinical Nurse Specialist - Neuroscience | NS 09037 (Ohio) | Secondary |
| 364SA2100X | Clinical Nurse Specialist - Acute Care | NS 09037 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northern Ohio Medical Specialists Llc | 2769386192 | 298 |
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 Kristine Elizabeth Jacobson allows following entities to bill medicare on her behalf.
| Entity Name | Northern Ohio Medical Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225085855
PECOS PAC ID: 2769386192
Enrollment ID: O20031126000214 |
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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. Ms Kristine Elizabeth 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 Kristine Elizabeth Jacobson, RN, MSN, CCNS
1650 17th St,
Cuyahoga Falls, OH 44223-1806
Ph: (330) 322-0130 | Ms Kristine Elizabeth Jacobson, RN, MSN, CCNS
1761 Beall Ave,
Wooster, OH 44691-2342
Ph: (330) 263-8265 |
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