Betsy Jacob, APN in Carol Stream, IL - Medicare Nurse Practitioner

Betsy Jacob, APN is a medicare enrolled "Nurse Practitioner - Family" in Carol Stream, Illinois. Her current practice location is 540 N Schmale Rd, Carol Stream, Illinois. You can reach out to her office (for appointments etc.) via phone at (866) 825-3227.

Betsy Jacob is licensed to practice in Illinois (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 1366630642.

Contact Information

	Betsy Jacob, APN
	540 N Schmale Rd, Carol Stream, IL 60188
	(866) 825-3227
	(484) 450-2617

Map and Direction

Provider's Profile

Full Name	Betsy Jacob
Gender	Female
Speciality	Nurse Practitioner - Family
Location	540 N Schmale Rd, Carol Stream, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366630642
Provider Enumeration Date: 10/11/2007
Last Update Date: 10/11/2007

Medicare PECOS Information:

PECOS PAC ID: 0446330997
Enrollment ID: I20080109000532

Medical Identifiers

Medical identifiers for Betsy Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366630642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	(Illinois)	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. Betsy Jacob allows following entities to bill medicare on her behalf.

Entity Name	Paragon Clinical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20070515000051

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. Betsy 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
Betsy Jacob, APN 161 Washington St Fl 14, Eight Tower Bridge Suite 1400, Conshohocken, PA 19428-2083 Ph: (484) 351-3206	Betsy Jacob, APN 540 N Schmale Rd, Carol Stream, IL 60188 Ph: (866) 825-3227

Reviews and Comments

Nurse Practitioner Nurses in Carol Stream, IL

Jean K Kombwa, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26w212 Geneva Rd, Carol Stream, IL 60188 Phone: 630-510-1065 Fax: 630-389-0023
Grace Lezon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 289 S President St, Carol Stream, IL 60188 Phone: 847-732-2677
Barbara C Kopchak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 E North Ave, Carol Stream, IL 60188 Phone: 630-861-6663
Loren Weese, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 545 Belmont Ln, Carol Stream, IL 60188 Phone: 630-523-8972
Raleigh Guerrero, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1189 N Gary Ave, Carol Stream, IL 60188 Phone: 630-517-5674
Caitlin Louise Linder, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 798 W Army Trail Rd, Carol Stream, IL 60188 Phone: 630-233-8343

Betsy Jacob, APN - Medicare Nurse Practitioner in Carol Stream, IL