Cecilia Jacobs, PSYD in Fairborn, OH - Medicare Clinical Psychologist Provider

Cecilia Jacobs, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fairborn, Ohio. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 2188 Gateway Dr, Fairborn, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 320-5859.

Cecilia Jacobs is licensed to practice in Ohio (license number 5332) 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 1356333678.

Contact Information

	Cecilia Jacobs, PSYD
	2188 Gateway Dr, Fairborn, OH 45324-6356
	(937) 320-5859
	(937) 426-1349

Map and Direction

Healthcare Provider's Profile

Full Name	Cecilia Jacobs
Gender	Female
Speciality	Clinical Psychologist
Experience	29 Years
Location	2188 Gateway Dr, Fairborn, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cecilia Jacobs graduated from medical school in 1995

NPI Data:

NPI Number: 1356333678
Provider Enumeration Date: 08/22/2005
Last Update Date: 03/27/2008

Medicare PECOS Information:

PECOS PAC ID: 4486645348
Enrollment ID: I20040519001398

Medical Identifiers

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

Identifier	Type	State	Issuer
1356333678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	5332 (Ohio)	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. Cecilia Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Cecilia Jacobs Psyd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134392814 PECOS PAC ID: 0345267365 Enrollment ID: O20051028000916

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. Cecilia 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
Cecilia Jacobs, PSYD 2188 Gateway Dr, Fairborn, OH 45324-6356 Ph: (937) 320-5859	Cecilia Jacobs, PSYD 2188 Gateway Dr, Fairborn, OH 45324-6356 Ph: (937) 320-5859

Reviews and Comments

Psychologist in Fairborn, OH

Dr. Kathy Lynn Acus-souders, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2188 Gateway Dr, Fairborn, OH 45324 Phone: 937-864-7122 Fax: 937-864-1950
Emerson Mills, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1551 Charter Oak Pt Apt 4, Fairborn, OH 45324 Phone: 910-540-0817
Melissa Skavaril, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-879-3611 Fax: 937-879-8190
Debra Titus, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 E Whittier Ave, Fairborn, OH 45324 Phone: 937-878-4616
Mr. David Henry Roush, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2378 National Rd, Fairborn, OH 45324 Phone: 937-879-7996 Fax: 937-879-7959
Mrs. Michele Berning, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 E Whittier Ave, Fairborn, OH 45324 Phone: 937-878-3961

Cecilia Jacobs, PSYD - Medicare Psychologist in Fairborn, OH