Betsy Jacob, APN - Medicare Nurse Practitioner in Bloomingdale, IL

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Betsy Jacob, APN is a medicare enrolled "Nurse Practitioner - Family" in Bloomingdale, Illinois. Her current practice location is 1 Tiffany Pt Ste 203, Bloomingdale, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 828-6821.

Betsy Jacob is licensed to practice in Illinois (license number 277001175) 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
1 Tiffany Pt Ste 203,
Bloomingdale, IL 60108-2916
(630) 828-6821
(727) 473-3368

Map and Direction




Provider's Profile

Full NameBetsy Jacob
GenderFemale
SpecialityNurse Practitioner - Family
Location1 Tiffany Pt Ste 203, Bloomingdale, Illinois
Accepts Medicare AssignmentsMedicare 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: 11/12/2025
  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.
IdentifierTypeStateIssuer
1366630642NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277001175 (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 NameParagon Clinical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Betsy Jacob, APN
1 Tiffany Pt Ste 203,
Bloomingdale, IL 60108-2916

Ph: (630) 828-6821		Betsy Jacob, APN
1 Tiffany Pt Ste 203,
Bloomingdale, IL 60108-2916

Ph: (630) 828-6821

Reviews and Comments


Nurse Practitioner Nurses in Bloomingdale, IL

Selena Smith, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 473 W Army Trail Rd Ste 103, Bloomingdale, IL 60108
Phone: 630-529-6969    
Jessica Claire Drew, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 303 E Army Trail Rd, Suite 100, Bloomingdale, IL 60108
Phone: 630-980-8600    Fax: 630-980-8650
Katie Coffman, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 215 E Lake St, Bloomingdale, IL 60108
Phone: 847-278-1527    
Kristen Klocker, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 473 W Army Trail Rd, 103, Bloomingdale, IL 60108
Phone: 630-529-6969    
Ms. Lashonda Stockley,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Tiffany Pt Ste 106, Bloomingdale, IL 60108
Phone: 224-653-9507    Fax: 224-653-9387
Ms. Nirmal Dass, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108
Phone: 630-924-1160    Fax: 630-924-1162
Marnella Elizalde, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 Fairfield Way Ste 207, Bloomingdale, IL 60108
Phone: 630-915-2037    

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.