Mrs Carolyn Rosa Jacobson, RN, MSN, CPNP - Medicare Registered Nurse in Boston, MA

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Mrs Carolyn Rosa Jacobson, RN, MSN, CPNP is a medicare enrolled "Registered Nurse - Pediatrics" in Boston, Massachusetts. Her current practice location is 300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 355-6439.

Mrs Carolyn Rosa Jacobson is licensed to practice in Massachusetts (license number RN2302522) 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 1528310257.

Contact Information

Mrs Carolyn Rosa Jacobson, RN, MSN, CPNP
300 Longwood Ave,
Boston, MA 02115-5724
(617) 355-6439
Not Available

Map and Direction




Provider's Profile

Full NameMrs Carolyn Rosa Jacobson
GenderFemale
SpecialityRegistered Nurse - Pediatrics
Location300 Longwood Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528310257
  • Provider Enumeration Date: 10/04/2012
  • Last Update Date: 12/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072812809
  • Enrollment ID: I20160429001015

Medical Identifiers

Medical identifiers for Mrs Carolyn Rosa Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528310257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 0024170287 (Virginia)Secondary
163WP0200XRegistered Nurse - Pediatrics RN2302522 (Massachusetts)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 Carolyn Rosa Jacobson allows following entities to bill medicare on her behalf.
Entity NameChildren's Hospital Pediatric Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306664
PECOS PAC ID: 3476541830
Enrollment ID: O20040504000964

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 Carolyn Rosa Jacobson 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 AddressPractice Location Address
Mrs Carolyn Rosa Jacobson, RN, MSN, CPNP
300 Longwood Ave,
Boston, MA 02115-5724

Ph: (617) 355-6000		Mrs Carolyn Rosa Jacobson, RN, MSN, CPNP
300 Longwood Ave,
Boston, MA 02115-5724

Ph: (617) 355-6439

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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