Suni Jacob, APRN in Hamden, CT - Medicare Nurse Practitioner

Suni Jacob, APRN is a medicare enrolled "Nurse Practitioner" in Hamden, Connecticut. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family And Internal Medicine Of Dixwell Avenue and her current practice location is 2543 Dixwell Ave, Hamden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 230-4160.

Suni Jacob is licensed to practice in Connecticut (license number 003301) 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 1194709402.

Contact Information

	Suni Jacob, APRN
	2543 Dixwell Ave, Hamden, CT 06514-1860
	(203) 230-4160
	Not Available

Map and Direction

Provider's Profile

Full Name	Suni Jacob
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	2543 Dixwell Ave, Hamden, Connecticut
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:

Suni Jacob graduated from nursing school in 2005

NPI Data:

NPI Number: 1194709402
Provider Enumeration Date: 11/30/2005
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 7113948241
Enrollment ID: I20051216000016

Medical Identifiers

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

Identifier	Type	State	Issuer
1194709402	NPI	-	NPPES
008043065	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	003301 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yale-new Haven Hospital	New haven, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family And Internal Medicine Of Dixwell Avenue	8527148550	2

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. Suni Jacob allows following entities to bill medicare on her behalf.

Entity Name	Family And Internal Medicine Of Dixwell Avenue
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962681684 PECOS PAC ID: 8527148550 Enrollment ID: O20080103000525

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. Suni 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
Suni Jacob, APRN 161 Rochela Dr, Southington, CT 06489-4671 Ph: (203) 525-5561	Suni Jacob, APRN 2543 Dixwell Ave, Hamden, CT 06514-1860 Ph: (203) 230-4160

Reviews and Comments

Nurse Practitioner Nurses in Hamden, CT

Ashley Victoria Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hideaway Ln, Hamden, CT 06518 Phone: 254-466-6569
Lynda A. Romita, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Ave, Suite 240, Hamden, CT 06518 Phone: 203-287-5400 Fax: 203-281-3001
Christine Salamida, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Whitney Ave, Suite 360, Hamden, CT 06518 Phone: 203-281-4463
Jennifer Suski, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Whitney Ave Ste 290, Hamden, CT 06518 Phone: 203-903-8308 Fax: 203-599-3927
Deborah J Valin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2080 Whitney Ave Ste 240, Hamden, CT 06518 Phone: 203-281-6228 Fax: 203-248-2881
Diana Greco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2080 Whitney Ave, Suite 250, Hamden, CT 06518 Phone: 203-535-0262
Stephanie P. Perkins, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Whitney Ave, Suite 240, Hamden, CT 06518 Phone: 203-287-5400 Fax: 203-281-3001

Suni Jacob, APRN - Medicare Nurse Practitioner in Hamden, CT