Julie V Jacob, NP is a medicare enrolled "Nurse Practitioner - Family" provider in Brooklyn, New York. Her current practice location is
7404 5th Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 439-5111.
Julie V Jacob is licensed to practice in New York (license number 337469) 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 1619283819.
Healthcare Provider's Profile
| Full Name | Julie V Jacob |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 7404 5th Ave, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619283819
- Provider Enumeration Date: 08/25/2010
- Last Update Date: 05/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 9739512435
- Enrollment ID: I20191211001541
Medical Identifiers
Medical identifiers for Julie V Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619283819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | 541753 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 337469 (New York) | 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. Julie V Jacob allows following entities to bill medicare on her behalf.
| Provider Name | Gastrointestinal Care Of Long Island Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265571863
PECOS PAC ID: 7517042211
Enrollment ID: O20080305000269 |
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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. Julie V 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 |
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Julie V Jacob, NP
7404 5th Ave,
Brooklyn, NY 11209-2704
Ph: () - | Julie V Jacob, NP
7404 5th Ave,
Brooklyn, NY 11209-2704
Ph: (718) 439-5111 |
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