Adelina Nicole Jakuba, MS, APRN, FNP-BC in Waterford, CT

Adelina Nicole Jakuba, MS, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Waterford, Connecticut. Her current practice location is 5 Dayton Rd Ste 102, Waterford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 271-2400.

Adelina Nicole Jakuba is licensed to practice in Connecticut (license number 10960) 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 1427795970.

Contact Information

	Adelina Nicole Jakuba, MS, APRN, FNP-BC
	5 Dayton Rd Ste 102, Waterford, CT 06385-4279
	(860) 271-2400
	Not Available

Map and Direction

Provider's Profile

Full Name	Adelina Nicole Jakuba
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5 Dayton Rd Ste 102, Waterford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427795970
Provider Enumeration Date: 05/17/2022
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 2567848989
Enrollment ID: I20221007000956

Medical Identifiers

Medical identifiers for Adelina Nicole Jakuba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427795970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WN0800X	Registered Nurse - Neuroscience	147591 (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	PENDING (Connecticut)	Secondary
363LF0000X	Nurse Practitioner - Family	10960 (Connecticut)	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. Adelina Nicole Jakuba allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007

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. Adelina Nicole Jakuba 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
Adelina Nicole Jakuba, MS, APRN, FNP-BC 5 Dayton Rd Ste 102, Waterford, CT 06385-4279 Ph: (860) 271-2400	Adelina Nicole Jakuba, MS, APRN, FNP-BC 5 Dayton Rd Ste 102, Waterford, CT 06385-4279 Ph: (860) 271-2400

Reviews and Comments

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Adelina Nicole Jakuba, MS, APRN, FNP-BC - Medicare Nurse Practitioner in Waterford, CT