| Mrs Edwina Yvonne Jacobs, FNP | |
|
615 W Round Bunch Rd, Bridge City, TX 77611-2434 | |
| (409) 735-7305 | |
| (888) 972-9401 |
| Full Name | Mrs Edwina Yvonne Jacobs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 615 W Round Bunch Rd, Bridge City, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063765451 | NPI | - | NPPES |
| AP122669 | Other | TX | APRN |
| 13293 | Other | TX | PRESCRIPTIVE AUTHORIZATION |
| 654339 | Other | TX | BOARD OF NURSING FAMILY PRACTICE NURSE PRACTITIONER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 654339 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Home Health | Nederland, TX | Home health agency |
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| The Medical Center Of Southeast Texas | Port arthur, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rhg Of Texas Pa | 6608399829 | 32 |
| Entity Name | Permian Premier Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20060816000446 |
| Entity Name | Gordon And Parker, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992873368 PECOS PAC ID: 3577690924 Enrollment ID: O20100416000426 |
| Entity Name | Rhg Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013734243 PECOS PAC ID: 6608399829 Enrollment ID: O20250328001582 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Edwina Yvonne Jacobs, FNP 615 W Round Bunch Rd, Bridge City, TX 77611-2434 Ph: (409) 735-7305 | Mrs Edwina Yvonne Jacobs, FNP 615 W Round Bunch Rd, Bridge City, TX 77611-2434 Ph: (409) 735-7305 |
Mr. Benjamin Joseph Garcia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Texas Ave, Bridge City, TX 77611 Phone: 409-792-5521 | |
Kelli Sheffield, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Texas Ave, Bridge City, TX 77611 Phone: 409-792-5521 | |
Kelly Melissa Bock, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 W Round Bunch Rd, Bridge City, TX 77611 Phone: 409-735-7305 Fax: 409-735-3371 | |
Zachary Pulliam, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Poinsettia St, Bridge City, TX 77611 Phone: 337-936-5535 | |
Chrisleigh Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 845 Jones St, Bridge City, TX 77611 Phone: 409-474-1315 | |
Lisa Beck, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 665 Cactus St, Bridge City, TX 77611 Phone: 409-920-5776 |