Ms Charleen Jacobs, NP in Bronx, NY - Medicare Nurse Practitioner

Ms Charleen Jacobs, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Bronx, New York. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and her current practice location is 3444 Kossuth Ave, Mmg Family Care Center, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 920-2273.

Ms Charleen Jacobs is licensed to practice in New York (license number F306841) 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 1003228537.

Contact Information

	Ms Charleen Jacobs, NP
	3444 Kossuth Ave, Mmg Family Care Center, Bronx, NY 10467-2410
	(718) 920-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Charleen Jacobs
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3444 Kossuth Ave, Bronx, New York
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:

Ms Charleen Jacobs graduated from nursing school in 2014

NPI Data:

NPI Number: 1003228537
Provider Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014

Medicare PECOS Information:

PECOS PAC ID: 9638399637
Enrollment ID: I20140925000108

Medical Identifiers

Medical identifiers for Ms Charleen Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003228537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F306841 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mount Sinai Hospital	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icahn School Of Medicine At Mount Sinai	2264691070	2329

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. Ms Charleen Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750649612 PECOS PAC ID: 2264691070 Enrollment ID: O20120917000180

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. Ms Charleen 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
Ms Charleen Jacobs, NP 1 Fisher Dr Apt 202, Mount Vernon, NY 10552-3635 Ph: (914) 774-9210	Ms Charleen Jacobs, NP 3444 Kossuth Ave, Mmg Family Care Center, Bronx, NY 10467-2410 Ph: (718) 920-2273

Reviews and Comments

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Mrs. Keisha A Ballentine-cargill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 841 Burke Ave, Bronx, NY 10467 Phone: 718-654-1726

Ms Charleen Jacobs, NP - Medicare Nurse Practitioner in Bronx, NY