Mr Jacob Andrew Scott, CRNP in Athens, AL - Medicare Nurse Practitioner

Mr Jacob Andrew Scott, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Athens, Alabama. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Revival Psychiatry and his current practice location is 15884 E Limestone Rd, Athens, Alabama. You can reach out to his office (for appointments etc.) via phone at (125) 644-4451.

Mr Jacob Andrew Scott is licensed to practice in Alabama (license number 1-148777) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801314356.

Contact Information

	Mr Jacob Andrew Scott, CRNP
	15884 E Limestone Rd, Athens, AL 35613-7522
	(125) 644-4451
	(256) 444-2797

Map and Direction

Provider's Profile

Full Name	Mr Jacob Andrew Scott
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	15884 E Limestone Rd, Athens, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jacob Andrew Scott graduated from nursing school in 2019

NPI Data:

NPI Number: 1801314356
Provider Enumeration Date: 09/05/2017
Last Update Date: 11/18/2021

Medicare PECOS Information:

PECOS PAC ID: 9436585502
Enrollment ID: I20200209000014

Medical Identifiers

Medical identifiers for Mr Jacob Andrew Scott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801314356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN.1637541 (Colorado)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1-148777 (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revival Psychiatry	1557750478	4

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. Mr Jacob Andrew Scott allows following entities to bill medicare on his behalf.

Entity Name	Revival Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073285987 PECOS PAC ID: 1557750478 Enrollment ID: O20211116000680

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. Mr Jacob Andrew Scott 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
Mr Jacob Andrew Scott, CRNP 15884 E Limestone Rd, Athens, AL 35613-7522 Ph: (125) 644-4451	Mr Jacob Andrew Scott, CRNP 15884 E Limestone Rd, Athens, AL 35613-7522 Ph: (125) 644-4451

Reviews and Comments

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Christina C Vail, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292
Mrs. Marleah Mcanalley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292 Fax: 256-233-9272

Mr Jacob Andrew Scott, CRNP - Medicare Nurse Practitioner in Athens, AL