Lija Jacob, NP in Longwood, FL - Medicare Nurse Practitioner

Lija Jacob, NP is a medicare enrolled "Nurse Practitioner - Family" in Longwood, Florida. Her current practice location is 1908 Boothe Cir, Longwood, Florida. You can reach out to her office (for appointments etc.) via phone at (844) 665-4827.

Lija Jacob is licensed to practice in Florida (license number APRN11007049) 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 1083184469.

Contact Information

	Lija Jacob, NP
	1908 Boothe Cir, Longwood, FL 32750-6774
	(844) 665-4827
	Not Available

Map and Direction

Provider's Profile

Full Name	Lija Jacob
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1908 Boothe Cir, Longwood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083184469
Provider Enumeration Date: 11/28/2018
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6103161575
Enrollment ID: I20181213001810

Medical Identifiers

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

Identifier	Type	State	Issuer
1083184469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11007049 (Florida)	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. Lija Jacob allows following entities to bill medicare on her behalf.

Entity Name	Rush University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

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. Lija 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
Lija Jacob, NP 8400 Nw 33rd St Ste 201, Doral, FL 33122-1937 Ph: (844) 665-4827	Lija Jacob, NP 1908 Boothe Cir, Longwood, FL 32750-6774 Ph: (844) 665-4827

Reviews and Comments

Nurse Practitioner Nurses in Longwood, FL

Lynsey Materni, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1917 Glen Mist Cv, Longwood, FL 32750 Phone: 407-443-7609
Camita Charite Charite, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 W York Ct, Longwood, FL 32779 Phone: 156-139-6480
Mrs. Lydia Adebola Onatunde, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2062 Ackola Pt, Longwood, FL 32779 Phone: 321-287-5404
Samia Lamnaouer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1908 Boothe Cir, Longwood, FL 32750 Phone: 844-665-4827
Jane Dumont Mcmillan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 S Us Highway 17 92, Longwood, FL 32750 Phone: 407-751-2297 Fax: 727-525-1015
Angela Jaimes, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 Wekiva Springs Rd Ste 231, Longwood, FL 32779 Phone: 321-413-1411 Fax: 321-379-6923

Lija Jacob, NP - Medicare Nurse Practitioner in Longwood, FL