Renatta Jacobs, in Lodi, NJ - Medicare Nurse Practitioner

Renatta Jacobs, is a medicare enrolled "Nurse Practitioner - Primary Care" in Lodi, New Jersey. Her current practice location is 114 Spring St, Lodi, New Jersey. You can reach out to her office (for appointments etc.) via phone at (347) 837-6360.

Renatta Jacobs is licensed to practice in New York (license number F309729) 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 1235725326.

Contact Information

	Renatta Jacobs,
	114 Spring St, Lodi, NJ 07644-3125
	(347) 837-6360
	Not Available

Map and Direction

Provider's Profile

Full Name	Renatta Jacobs
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	114 Spring St, Lodi, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235725326
Provider Enumeration Date: 12/14/2020
Last Update Date: 12/14/2020

Medicare PECOS Information:

PECOS PAC ID: 8325413347
Enrollment ID: I20230405001058

Medical Identifiers

Medical identifiers for Renatta Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235725326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	F309729 (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. Renatta Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750649612 PECOS PAC ID: 2264691070 Enrollment ID: O20120917000180

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. Renatta 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
Renatta Jacobs, 114 Spring St, Lodi, NJ 07644-3125 Ph: (347) 837-6360	Renatta Jacobs, 114 Spring St, Lodi, NJ 07644-3125 Ph: (347) 837-6360

Reviews and Comments

Nurse Practitioner Nurses in Lodi, NJ

Ana Mariel Builes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Harrison Ave, Lodi, NJ 07644 Phone: 973-981-3635
Dr. Catherine Mary Jennings, DNP, MSN, APN,C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 262 S Main St, Lodi, NJ 07644 Phone: 201-559-6000 Fax: 973-786-5806
Daenielle Taylor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Corabelle Ave, Lodi, NJ 07644 Phone: 973-930-6181
Angela A Moss, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Mckinley Ave, Lodi, NJ 07644 Phone: 732-687-0383
Mr. Alberto Sarmiento, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 69 Hamilton Ave, Lodi, NJ 07644 Phone: 201-310-0732
John A Gasataya, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 348 Harrison Ave, Lodi, NJ 07644 Phone: 212-804-8226

Renatta Jacobs, - Medicare Nurse Practitioner in Lodi, NJ