| Deloris M Jacobs, APRN | |
|
2608 Ring Road, Ste B107, Elizabethtown, KY 42701 | |
| (270) 506-3741 | |
| (270) 506-3768 |
| Full Name | Deloris M Jacobs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 2608 Ring Road, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154460467 | NPI | - | NPPES |
| 11716456 | Other | CAQH | |
| 7100144180 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4861P (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 3004861 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland Family Medical Center, Inc.. | 6305947789 | 105 |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Deloris M Jacobs, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Deloris M Jacobs, APRN 2608 Ring Road, Ste B107, Elizabethtown, KY 42701 Ph: (270) 506-3741 |
Stephanie Rae Kelty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642 | |
Christina M Wills, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Lisa Christine Gaines, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Dixie Ave, Elizabethtown, KY 42701 Phone: 502-644-9162 | |
Dr. Marguerite Vernette Mcbride, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3040 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-765-3488 | |
Mrs. Chelsea Danielle Thorn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843 | |
Elizabeth Anne Shelton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212 | |
Marlena O'neil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Dixie Ave Ste 4, Elizabethtown, KY 42701 Phone: 270-445-9344 Fax: 502-410-6819 |