Mrs Lisa Marie Jacobs, APRN is a medicare enrolled "Nurse Practitioner" in Lynchburg, Ohio. 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 Highland Health Providers Corp and her current practice location is
8900 State Route 134, Lynchburg, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 364-2346.
Mrs Lisa Marie Jacobs is licensed to practice in Ohio (license number 29297) 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 1871848176.
Provider's Profile
| Full Name | Mrs Lisa Marie Jacobs |
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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 | 8900 State Route 134, Lynchburg, Ohio |
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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. |
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Medical Education and Training:
- Mrs Lisa Marie Jacobs graduated from nursing school in 2021
NPI Data:
- NPI Number: 1871848176
- Provider Enumeration Date: 07/23/2012
- Last Update Date: 02/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476950809
- Enrollment ID: I20210927003208
Medical Identifiers
Medical identifiers for Mrs Lisa Marie Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871848176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 329999 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 29297 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Highland Health Providers Corp | 0244257848 | 11 |
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 Lisa Marie Jacobs allows following entities to bill medicare on her behalf.
| Entity Name | Highland Health Providers Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396702445
PECOS PAC ID: 0244257848
Enrollment ID: O20051101001066 |
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| Entity Name | Cg Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982903951
PECOS PAC ID: 6608052196
Enrollment ID: O20110518000216 |
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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 Lisa Marie Jacobs 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 |
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Mrs Lisa Marie Jacobs, APRN
Po Box 637736,
Cincinnati, OH 45263-7736
Ph: () - | Mrs Lisa Marie Jacobs, APRN
8900 State Route 134,
Lynchburg, OH 45142-9272
Ph: (937) 364-2346 |
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