Hannah Jacob, APRN in New London, CT - Medicare Nurse Practitioner

Hannah Jacob, APRN is a medicare enrolled "Nurse Practitioner" in New London, Connecticut. Her current practice location is One Shaw's Cove, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 447-8304.

Hannah Jacob is licensed to practice in Connecticut (license number 9037) 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 1922620137.

Contact Information

	Hannah Jacob, APRN
	One Shaw's Cove, New London, CT 06320-4902
	(860) 447-8304
	Not Available

Map and Direction

Provider's Profile

Full Name	Hannah Jacob
Gender	Female
Speciality	Nurse Practitioner
Location	One Shaw's Cove, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922620137
Provider Enumeration Date: 05/11/2020
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 8628497625
Enrollment ID: I20221109001792

Medical Identifiers

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

Identifier	Type	State	Issuer
1922620137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R209541 (Maryland)	Secondary
363L00000X	Nurse Practitioner	9037 (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. Hannah Jacob allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356309553 PECOS PAC ID: 9537073960 Enrollment ID: O20031118001062

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. Hannah 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
Hannah Jacob, APRN One Shaw's Cove, New London, CT 06320-4902 Ph: (860) 447-8304	Hannah Jacob, APRN One Shaw's Cove, New London, CT 06320-4902 Ph: (860) 447-8304

Reviews and Comments

Nurse Practitioner Nurses in New London, CT

Mr. Stephen Daniel Socha, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Skyla Young Cedano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304
Mrs. Susan H. Austen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Mohegan Ave,, New London, CT 06320 Phone: 860-437-3611 Fax: 860-437-1801
Eliza C Spears, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 254 Hempstead St, New London, CT 06320 Phone: 860-437-4550
Melissa Milvenan, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304
Emily Antonia Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234a Bank St, New London, CT 06320 Phone: 860-442-0290
Mrs. Samantha Jo Rondini, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 78 Viets St, New London, CT 06320 Phone: 860-447-1416

Hannah Jacob, APRN - Medicare Nurse Practitioner in New London, CT