Tina Lynne Jacobs, NP in Bloomington, IN - Medicare Nurse Practitioner

Tina Lynne Jacobs, NP is a medicare enrolled "Nurse Practitioner" in Bloomington, Indiana. Her current practice location is 550 S Landmark Ave, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 330-3688.

Tina Lynne Jacobs is licensed to practice in Indiana (license number 71002683A) 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 1457515884.

Contact Information

	Tina Lynne Jacobs, NP
	550 S Landmark Ave, Bloomington, IN 47403-3239
	(812) 330-3688
	(812) 355-3270

Map and Direction

Provider's Profile

Full Name	Tina Lynne Jacobs
Gender	Female
Speciality	Nurse Practitioner
Location	550 S Landmark Ave, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457515884
Provider Enumeration Date: 07/15/2008
Last Update Date: 05/29/2013

Medicare PECOS Information:

PECOS PAC ID: 7719053537
Enrollment ID: I20080902000485

Medical Identifiers

Medical identifiers for Tina Lynne Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457515884	NPI	-	NPPES
200903450	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71002683A (Indiana)	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. Tina Lynne Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Tina Lynne 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
Tina Lynne Jacobs, NP 950 N Meridian St, Ste 500 - Provider Enrollment, Indianapolis, IN 46204-3908 Ph: (317) 962-4941	Tina Lynne Jacobs, NP 550 S Landmark Ave, Bloomington, IN 47403-3239 Ph: (812) 330-3688

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IN

Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700
Nichole Hickman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604
Robert G Pursell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900

Tina Lynne Jacobs, NP - Medicare Nurse Practitioner in Bloomington, IN