Dr Patrice Alana Jacob, PHD - Medicare Counselor in Ridgefield, WA

Dr Patrice Alana Jacob, PHD is a medicare enrolled "Counselor - Mental Health" provider in Ridgefield, Washington. Her current practice location is 1361 S 15th Way, Ridgefield, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 643-9217.

Dr Patrice Alana Jacob is licensed to practice in Washington (license number MC60704526) 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 1669919148.

Contact Information

Dr Patrice Alana Jacob, PHD
1361 S 15th Way,
Ridgefield, WA 98642-7826
(360) 643-9217
(503) 678-9751

Map and Direction


Healthcare Provider's Profile

Full NameDr Patrice Alana Jacob
GenderFemale
SpecialityCounselor - Mental Health
Location1361 S 15th Way, Ridgefield, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669919148
  • Provider Enumeration Date: 01/23/2017
  • Last Update Date: 06/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486092533
  • Enrollment ID: I20240409001452

Medical Identifiers

Medical identifiers for Dr Patrice Alana Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669919148NPI-NPPES
2082041MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MC60704526 (Washington)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. Dr Patrice Alana 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 AddressPractice Location Address
Dr Patrice Alana Jacob, PHD
1361 S 15th Way,
Ridgefield, WA 98642-7826

Ph: (360) 643-9217
Dr Patrice Alana Jacob, PHD
1361 S 15th Way,
Ridgefield, WA 98642-7826

Ph: (360) 643-9217

Reviews and Comments


Counselor in Ridgefield, WA

Sarah N Wasilk, CP60200272
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 888 S Hillhurst Rd, Ridgefield, WA 98642
Phone: 360-887-6060    
Mrs. Robin Sarkissian, LICSWA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4521 S 19th St, Ridgefield, WA 98642
Phone: 505-501-5125    
Mrs. Heidi Ann Howe, MSW, SWICL
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 20600 Ne 10th Ave, Ridgefield, WA 98642
Phone: 707-477-3306    
Denise Wilson, CDP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 888 S Hillhurst Rd, Ridgefield, WA 98642
Phone: 360-887-6060    Fax: 360-727-3638
Justin William Rinta, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2018 S Taverner Dr, Ridgefield, WA 98642
Phone: 360-798-9685    
Janet Bentley-jones, SUDP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 21810 Ne 37th Ave, Ridgefield, WA 98642
Phone: 360-910-8888    Fax: 360-397-7477
Mrs. Linda Linnea Goode Miller, MA, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3710 S Star View Loop, Ridgefield, WA 98642
Phone: 360-336-0467    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.