Dr Jeena George Jacob, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bartlett, Illinois. She graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
1173 Ancient Oaks Ct, Bartlett, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 912-8958.
Dr Jeena George Jacob is licensed to practice in Illinois (license number 071-006551) 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 1114947066.
Healthcare Provider's Profile
Full Name | Dr Jeena George Jacob |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 25 Years |
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Location | 1173 Ancient Oaks Ct, Bartlett, Illinois |
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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. |
Medical Education and Training:
- Dr Jeena George Jacob graduated from medical school in 2000
NPI Data:
- NPI Number: 1114947066
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 01/02/2008
Medicare PECOS Information:
- PECOS PAC ID: 2264422971
- Enrollment ID: I20040514000919
Medical Identifiers
Medical identifiers for Dr Jeena George Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114947066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071-006551 (Illinois) | 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. Dr Jeena George Jacob allows following entities to bill medicare on her behalf.
Entity Name | Jeena Jacob Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275705592 PECOS PAC ID: 8820088537 Enrollment ID: O20040514000732 |
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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. Dr Jeena George 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 |
Dr Jeena George Jacob, PSYD 1173 Ancient Oaks Ct, Bartlett, IL 60103-1711 Ph: (847) 912-8958 | Dr Jeena George Jacob, PSYD 1173 Ancient Oaks Ct, Bartlett, IL 60103-1711 Ph: (847) 912-8958 |
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