Rachel Jacob, CRNP in Chester, PA - Medicare Nurse Practitioner

Rachel Jacob, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Chester, Pennsylvania. Her current practice location is 2507 Chestnut St, Chester, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 508-2584.

Rachel Jacob is licensed to practice in Pennsylvania (license number SP027839) 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 1821777921.

Contact Information

	Rachel Jacob, CRNP
	2507 Chestnut St, Chester, PA 19013-4841
	(610) 508-2584
	Not Available

Map and Direction

Provider's Profile

Full Name	Rachel Jacob
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2507 Chestnut St, Chester, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821777921
Provider Enumeration Date: 07/17/2023
Last Update Date: 01/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0941657795
Enrollment ID: I20231115003475

Medical Identifiers

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

Identifier	Type	State	Issuer
1821777921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	RN702304 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP027839 (Pennsylvania)	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. Rachel Jacob allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568579266 PECOS PAC ID: 6204730955 Enrollment ID: O20150204001537

Entity Name	Hammad Raza Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164932836 PECOS PAC ID: 9537427745 Enrollment ID: O20171218000313

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. Rachel 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
Rachel Jacob, CRNP 2114 W Union Blvd, Bethlehem, PA 18018-0900 Ph: (610) 508-2584	Rachel Jacob, CRNP 2507 Chestnut St, Chester, PA 19013-4841 Ph: (610) 508-2584

Reviews and Comments

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Rachel Jacob, CRNP - Medicare Nurse Practitioner in Chester, PA