Mrs Molly Jacob, APN in East Hanover, NJ - Medicare Nurse Practitioner

Mrs Molly Jacob, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in East Hanover, New Jersey. Her current practice location is 30 Brace Dr, East Hanover, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 781-0172.

Mrs Molly Jacob is licensed to practice in New Jersey (license number 26NJ00023600) 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 1649492760.

Contact Information

	Mrs Molly Jacob, APN
	30 Brace Dr, East Hanover, NJ 07936-3025
	(973) 781-0172
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Molly Jacob
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	30 Brace Dr, East Hanover, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649492760
Provider Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608042759
Enrollment ID: I20111220000829

Medical Identifiers

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

Identifier	Type	State	Issuer
1649492760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	26NJ00023600 (New Jersey)	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. Mrs Molly Jacob allows following entities to bill medicare on her behalf.

Entity Name	University Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494430 PECOS PAC ID: 5294636874 Enrollment ID: O20111220000720

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 Molly 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 Molly Jacob, APN 30 Brace Dr, East Hanover, NJ 07936-3025 Ph: (973) 781-0172	Mrs Molly Jacob, APN 30 Brace Dr, East Hanover, NJ 07936-3025 Ph: (973) 781-0172

Reviews and Comments

Nurse Practitioner Nurses in East Hanover, NJ

Mrs. Nichole Cecilia Jenisch, R.N., A.P.N.,C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Health Plz Bldg 315, East Hanover, NJ 07936 Phone: 862-778-7960 Fax: 973-791-6505
Sapana V Patel, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Health Plz, Corporate Health, East Hanover, NJ 07936 Phone: 862-778-9389
Nessy Thomas Thadathil, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Hoover Ave, East Hanover, NJ 07936 Phone: 973-792-8785
Kate A Okusanya, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 47 Peach Tree Ave, East Hanover, NJ 07936 Phone: 908-304-5313 Fax: 973-585-4229
Michele Bauzil Dolisca, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Pollis Dr, East Hanover, NJ 07936 Phone: 973-515-5264

Mrs Molly Jacob, APN - Medicare Nurse Practitioner in East Hanover, NJ