Mrs Ryanne E Jacoby, SSP, NCSP, MA is a
Psychologist - School based in Carthage, Illinois. Mrs Ryanne E Jacoby is licensed to practice in Illinois (license number 2351336) and her current practice location is
600 Miller St, Carthage, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 357-2136.
NPI number for Mrs Ryanne E Jacoby is 1063922417 and her current mailing address is 210 S Adams St, Carthage, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063922417.
Healthcare Provider's Profile
Full Name | Mrs Ryanne E Jacoby |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 600 Miller St, Carthage, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063922417
- Provider Enumeration Date: 10/11/2017
- Last Update Date: 08/20/2021
Medical Identifiers
Medical identifiers for Mrs Ryanne E Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063922417 | NPI | - | NPPES |
1063922417 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 2351336 (Illinois) | Primary |
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. Mrs Ryanne E Jacoby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Ryanne E Jacoby, SSP, NCSP, MA 210 S Adams St, Carthage, IL 62321-1420 Ph: (217) 357-9202 | Mrs Ryanne E Jacoby, SSP, NCSP, MA 600 Miller St, Carthage, IL 62321-1129 Ph: (217) 357-2136 |
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