Miss Stacy Jacob, - Medicare Physician Assistant in Staten Island, NY

Miss Stacy Jacob, is a medicare enrolled "Physician Assistant" in Staten Island, New York. Her current practice location is 475 Seaview Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 266-9000.

Miss Stacy Jacob is licensed to practice in * (Not Available) (license number ) 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 1104333178.

Contact Information

Miss Stacy Jacob,
475 Seaview Ave,
Staten Island, NY 10305-3436
(718) 266-9000
Not Available

Map and Direction




Provider's Profile

Full NameMiss Stacy Jacob
GenderFemale
SpecialityPhysician Assistant
Location475 Seaview Ave, Staten Island, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104333178
  • Provider Enumeration Date: 12/29/2017
  • Last Update Date: 01/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587038021
  • Enrollment ID: I20230323000913

Medical Identifiers

Medical identifiers for Miss Stacy Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104333178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 329541-1 (New York)Secondary
363A00000XPhysician Assistant (* (Not Available))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. Miss Stacy 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
Miss Stacy Jacob,
475 Seaview Ave,
Staten Island, NY 10305-3436

Ph: (718) 226-9000
Miss Stacy Jacob,
475 Seaview Ave,
Staten Island, NY 10305-3436

Ph: (718) 266-9000

Reviews and Comments


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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).

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