Randi Jacobs, APRN - Medicare Nurse Practitioner in Hazard, KY

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Randi Jacobs, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hazard, Kentucky. Her current practice location is 210 Black Gold Blvd Ste 106, Hazard, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 436-0711.

Randi Jacobs is licensed to practice in Kentucky (license number 3018860) 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 1063127967.

Contact Information

Randi Jacobs, APRN
210 Black Gold Blvd Ste 106,
Hazard, KY 41701-2620
(606) 436-0711
(606) 436-0848

Map and Direction




Provider's Profile

Full NameRandi Jacobs
GenderFemale
SpecialityNurse Practitioner - Family
Location210 Black Gold Blvd Ste 106, Hazard, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063127967
  • Provider Enumeration Date: 01/16/2023
  • Last Update Date: 01/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597137828
  • Enrollment ID: I20230214001035

Medical Identifiers

Medical identifiers for Randi Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063127967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3018860 (Kentucky)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. Randi Jacobs allows following entities to bill medicare on her behalf.
Entity NameMountain After Hours Clinic Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477638880
PECOS PAC ID: 0547170102
Enrollment ID: O20040506000973
Entity NameQuantum Health Care Associates Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972704179
PECOS PAC ID: 3971690173
Enrollment ID: O20071105000501
Entity NameQuantum Healthcare Associates Of Cumberland, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255603619
PECOS PAC ID: 0345403424
Enrollment ID: O20120530000361
Entity NameKentucky Mountain Health Alliance, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407043979
PECOS PAC ID: 8123112687
Enrollment ID: O20140605001605

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. Randi 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 AddressPractice Location Address
Randi Jacobs, APRN
Po Box 959,
Hazard, KY 41702-0959

Ph: (606) 436-0711		Randi Jacobs, APRN
210 Black Gold Blvd Ste 106,
Hazard, KY 41701-2620

Ph: (606) 436-0711

Reviews and Comments


Nurse Practitioner Nurses in Hazard, KY

Sydney Roark, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Medical Center Dr, Hazard, KY 41701
Phone: 606-439-3952    
Janie C Thompson, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 279 E Main St, Hazard, KY 41701
Phone: 606-487-9505    
Trena Preston, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 271 E Main St, Hazard, KY 41701
Phone: 606-439-1316    Fax: 606-435-0752
Chelsea Walker, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701
Phone: 606-436-0711    Fax: 606-436-0848
Mrs. Robetta Melaine Baker, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 311 Roy Campbell Dr, Hazard, KY 41701
Phone: 606-487-0776    Fax: 606-487-0777
Christina Ruth Martin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Town And Country Ln Ste 100, Hazard, KY 41701
Phone: 606-439-1300    Fax: 606-439-1400
Shawn Compton, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 Black Gold Blvd Ste 106, Hazard, KY 41701
Phone: 606-436-0711    

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.