Kelli A Jacob, NP in Bossier City, LA - Medicare Nurse Practitioner

Kelli A Jacob, NP is a medicare enrolled "Nurse Practitioner" in Bossier City, Louisiana. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northwest Louisiana Nephrology, Llc and her current practice location is 2300 Hospital Dr, Suite 360, Bossier City, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 212-7902.

Kelli A Jacob is licensed to practice in Louisiana (license number AP05911) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679809933.

Contact Information

	Kelli A Jacob, NP
	2300 Hospital Dr, Suite 360, Bossier City, LA 71111-2394
	(318) 212-7902
	(318) 212-7905

Map and Direction

Provider's Profile

Full Name	Kelli A Jacob
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	2300 Hospital Dr, Bossier City, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelli A Jacob graduated from nursing school in 2009

NPI Data:

NPI Number: 1679809933
Provider Enumeration Date: 10/21/2009
Last Update Date: 10/27/2009

Medicare PECOS Information:

PECOS PAC ID: 7214073071
Enrollment ID: I20091008000039

Medical Identifiers

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

Identifier	Type	State	Issuer
1679809933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP05911 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital
Springhill Medical Center	Springhill, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Louisiana Nephrology, Llc	7911996509	18

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. Kelli A Jacob allows following entities to bill medicare on her behalf.

Entity Name	Northwest Louisiana Nephrology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669416491 PECOS PAC ID: 7911996509 Enrollment ID: O20050614000128

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. Kelli A 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
Kelli A Jacob, NP 2300 Hospital Dr, Suite 360, Bossier City, LA 71111-2394 Ph: (318) 212-7902	Kelli A Jacob, NP 2300 Hospital Dr, Suite 360, Bossier City, LA 71111-2394 Ph: (318) 212-7902

Reviews and Comments

Nurse Practitioner Nurses in Bossier City, LA

Mrs. Collette G Brown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 400, Bossier City, LA 71111 Phone: 318-212-7902 Fax: 318-212-7905
Mrs. Crystal Boyer, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Wills Way, Bossier City, LA 71112 Phone: 318-617-3734
Cherryl Talamayan Stiles, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2400 Hospital Dr Ste 130, Bossier City, LA 71111 Phone: 318-212-7990 Fax: 318-212-7995
Celina Marsha Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1524 Doctors Dr, Bossier City, LA 71111 Phone: 318-742-1623
Twyla Hurst, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Jimmie Davis Hwy Ste 200, Bossier City, LA 71112 Phone: 318-681-1660 Fax: 318-681-1671
Cortney L Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 330, Bossier City, LA 71111 Phone: 318-212-7848 Fax: 318-212-7855
Ava C Mcelwee, APRNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 140, Bossier City, LA 71111 Phone: 318-746-4842 Fax: 318-746-2326

Kelli A Jacob, NP - Medicare Nurse Practitioner in Bossier City, LA