Lena Jacob, PA-C is a medicare enrolled "Physician Assistant" physician in Dallas, Texas. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Texas Southwestern Medical Center At Dallas and her current practice location is
2280 Inwood Rd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 645-8525.
Lena Jacob is licensed to practice in Texas (license number PA09496) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104214402.
Physician's Profile
| Full Name | Lena Jacob |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 2280 Inwood Rd, Dallas, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lena Jacob graduated from medical school in 2014
NPI Data:
- NPI Number: 1104214402
- Provider Enumeration Date: 01/08/2015
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133444565
- Enrollment ID: I20150206000281
Medical Identifiers
Medical identifiers for Lena Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104214402 | NPI | - | NPPES |
| 8844NU | Other | TX | BCBS |
| 355290301 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | PA09496 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA09496 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 2784 |
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. Lena 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 |
|---|
Lena Jacob, PA-C
5323 Harry Hines Blvd,
Dallas, TX 75390-7201
Ph: (214) 645-8525 | Lena Jacob, PA-C
2280 Inwood Rd,
Dallas, TX 75390-4009
Ph: (214) 645-8525 |
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