Rena Jacobs, PA is a medicare enrolled "Physician Assistant" in Durham, Connecticut. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mhs Primary Care, Inc and her current practice location is
6 Main St, Durham, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 349-1058.
Rena Jacobs is licensed to practice in Connecticut (license number 002304) 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 1629301718.
Provider's Profile
| Full Name | Rena Jacobs |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 15 Years |
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| Location | 6 Main St, Durham, Connecticut |
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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:
- Rena Jacobs graduated from nursing school in 2009
NPI Data:
- NPI Number: 1629301718
- Provider Enumeration Date: 09/08/2009
- Last Update Date: 04/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 2567503923
- Enrollment ID: I20100107000117
Medical Identifiers
Medical identifiers for Rena Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629301718 | NPI | - | NPPES |
| 008016826 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 002304 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mhs Primary Care, Inc | 4082507371 | 143 |
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. Rena 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 |
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Rena Jacobs, PA
28 Crescent St,
Middletown, CT 06457-3654
Ph: (860) 358-4820 | Rena Jacobs, PA
6 Main St,
Durham, CT 06422-2126
Ph: (860) 349-1058 |
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