Latha Jacob, NP - Medicare Nurse Practitioner in Addison, TX

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Latha Jacob, NP is a medicare enrolled "Nurse Practitioner" in Addison, Texas. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nv Pacs 2 Llc, Ipc Pac Healthcare Services Of Texas Pllc and her current practice location is 14131 Midway Road, Suite 620, Addison, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 249-0200.

Latha Jacob is licensed to practice in Texas (license number 739362) 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 1376826503.

Contact Information

Latha Jacob, NP
14131 Midway Road, Suite 620,
Addison, TX 75001-3669
(972) 249-0200
(972) 249-0206

Map and Direction




Provider's Profile

Full NameLatha Jacob
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location14131 Midway Road, Addison, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Latha Jacob graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1376826503
  • Provider Enumeration Date: 09/23/2011
  • Last Update Date: 04/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8022282532
  • Enrollment ID: I20111118000471

Medical Identifiers

Medical identifiers for Latha Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376826503NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 739362 (Texas)Primary
163WR0400XRegistered Nurse - Rehabilitation 739362 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home HealthAllen, TXHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nv Pacs 2 Llc0941550578124
Ipc Pac Healthcare Services Of Texas Pllc175967630743

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. Latha Jacob allows following entities to bill medicare on her behalf.
Entity NameIpc Pac Healthcare Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194174201
PECOS PAC ID: 1759676307
Enrollment ID: O20160823000163
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210820003080
Entity NameCs Pacs 3 Southwest, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275398430
PECOS PAC ID: 1254879620
Enrollment ID: O20240815004236

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. Latha 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
Latha Jacob, NP
14131 Midway Road, Suite 620,
Addison, TX 75001-3669

Ph: (972) 249-0200		Latha Jacob, NP
14131 Midway Road, Suite 620,
Addison, TX 75001-3669

Ph: (972) 249-0200

Reviews and Comments


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Emily Ann Stanford,
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Phone: 469-734-0291    

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.