Mrs Jibi Jacob, CNP is a medicare enrolled "Nurse Practitioner - Family" in Stone Park, Illinois. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Consultants In Cardiology And Electrophysiololgy Llc and her current practice location is
3520 W North Ave, Stone Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 356-6341.
Mrs Jibi Jacob is licensed to practice in Illinois (license number 209024796) 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 1851046247.
Provider's Profile
| Full Name | Mrs Jibi Jacob |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 3520 W North Ave, Stone Park, Illinois |
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| 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:
- Mrs Jibi Jacob graduated from nursing school in 2021
NPI Data:
- NPI Number: 1851046247
- Provider Enumeration Date: 02/15/2022
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890150528
- Enrollment ID: I20230502000186
Medical Identifiers
Medical identifiers for Mrs Jibi Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851046247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209024796 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Consultants In Cardiology And Electrophysiololgy Llc | 4880779727 | 21 |
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. Mrs Jibi Jacob allows following entities to bill medicare on her behalf.
| Entity Name | Consultants In Cardiology & Electrophysiololgy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477731685 PECOS PAC ID: 4880779727 Enrollment ID: O20080317000416 |
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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. Mrs Jibi 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 |
Mrs Jibi Jacob, CNP 8112 Cedar Dr, Woodridge, IL 60517-4646 Ph: () - | Mrs Jibi Jacob, CNP 3520 W North Ave, Stone Park, IL 60165-1042 Ph: (708) 356-6341 |
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