Jaymi Ann Jacob, in Fort Worth, TX - Medicare Optometrist Provider

Jaymi Ann Jacob, is a medicare enrolled "Optometrist" provider in Fort Worth, Texas. Her current practice location is 9549 Sage Meadow Trl, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 441-7713.

Jaymi Ann Jacob is licensed to practice in Texas (license number 10434) 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 1871263020.

Contact Information

	Jaymi Ann Jacob,
	9549 Sage Meadow Trl, Fort Worth, TX 76177-8595
	(469) 441-7713
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaymi Ann Jacob
Gender	Female
Speciality	Optometrist
Location	9549 Sage Meadow Trl, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871263020
Provider Enumeration Date: 09/19/2021
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 0244603876
Enrollment ID: I20230302000604

Medical Identifiers

Medical identifiers for Jaymi Ann Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871263020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10434 (Texas)	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. Jaymi Ann Jacob allows following entities to bill medicare on her behalf.

Provider Name	Dallas County Hospital District
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583

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. Jaymi Ann Jacob 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
Jaymi Ann Jacob, 9549 Sage Meadow Trl, Fort Worth, TX 76177-8595 Ph: (817) 428-4182	Jaymi Ann Jacob, 9549 Sage Meadow Trl, Fort Worth, TX 76177-8595 Ph: (469) 441-7713

Reviews and Comments

Optometrist in Fort Worth, TX

Dr. Tyler T Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2720 Western Center Blvd, Suite 316, Fort Worth, TX 76131 Phone: 817-847-9000
Hong Zeng, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7108 Camp Bowie Blvd, Fort Worth, TX 76116 Phone: 817-738-3191
Barbara Ellen Hyler Stivala, OD Optometrist Medicare: Medicare Enrolled Practice Location: 655 Taylor St, Fort Worth, TX 76102 Phone: 817-289-6800 Fax: 817-289-6825
Dr. David L. Spivey, D.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7125 N Beach St, Fort Worth, TX 76137 Phone: 817-232-2321 Fax: 817-232-4933
The Art Of Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2245 Jacksboro Hwy, Fort Worth, TX 76114 Phone: 682-707-7730
Dr. Barjinder Singh Gill, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 9816 N Beach St, Fort Worth, TX 76244 Phone: 817-741-2020
Texas Family Vision Center Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3401 Golden Triangle Blvd # 121, Fort Worth, TX 76177 Phone: 817-937-1725

Jaymi Ann Jacob, - Medicare Optometrist in Fort Worth, TX