Susan Jacob, NP - Medicare Nurse Practitioner in Stafford, TX

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Susan Jacob, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Stafford, Texas. Her current practice location is 212 Angela Ln, Stafford, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 781-9578.

Susan Jacob is licensed to practice in Texas (license number AP126808) 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 1821468257.

Contact Information

Susan Jacob, NP
212 Angela Ln,
Stafford, TX 77477
(281) 781-9578
Not Available

Map and Direction




Provider's Profile

Full NameSusan Jacob
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location212 Angela Ln, Stafford, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821468257
  • Provider Enumeration Date: 09/28/2015
  • Last Update Date: 08/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3375853054
  • Enrollment ID: I20160921000937

Medical Identifiers

Medical identifiers for Susan Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821468257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP126808 (Texas)Secondary
363LP2300XNurse Practitioner - Primary Care AP126808 (Texas)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. Susan Jacob allows following entities to bill medicare on her behalf.
Entity NameBaylor College Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881026664
PECOS PAC ID: 8022243971
Enrollment ID: O20131030000972
Entity NameAlegis Care - Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023607850
PECOS PAC ID: 7618369513
Enrollment ID: O20220127000559
Entity NameMonogram Health Professional Services Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396481255
PECOS PAC ID: 3870969124
Enrollment ID: O20221012001279
Entity NameEvernorth Care Providers - Delaware Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033981097
PECOS PAC ID: 6002217973
Enrollment ID: O20240206004349

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. Susan 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 AddressPractice Location Address
Susan Jacob, NP
212 Angela Ln,
Stafford, TX 77477-4626

Ph: (281) 781-9578		Susan Jacob, NP
212 Angela Ln,
Stafford, TX 77477

Ph: (281) 781-9578

Reviews and Comments


Nurse Practitioner Nurses in Stafford, TX

Chandrika Padmavathyamma,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11925 Southwest Fwy Ste 12, Stafford, TX 77477
Phone: 281-741-9145    
Ashley Ray, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3623 S Main St # 109, Stafford, TX 77477
Phone: 281-969-7643    Fax: 281-969-5332
Esther Ogechi Peter, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 543 Nadia Way, Stafford, TX 77477
Phone: 832-492-2102    
Ms. Brenda S Mallett, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10435 Greenbough Dr Ste 300, Stafford, TX 77477
Phone: 281-261-0182    
Airatu Soyinka, AGACNP-BC, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11211 Nexus Ave, Stafford, TX 77477
Phone: 713-442-8800    
Mrs. Joslyn M Varghese, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2503 S Main St Ste C, Stafford, TX 77477
Phone: 281-261-5800    
Jessy Cecil,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 445 Murphy Rd Ste 101b, Stafford, TX 77477
Phone: 832-729-2461    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.