Lisa R Jacobs, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Timnath, Colorado. She graduated from medical school in 1997 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Poudre Valley Medical Group Llc and her current practice location is
4650 Signal Tree Dr Ste 1200, Timnath, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 237-7415.
Lisa R Jacobs is licensed to practice in Colorado (license number 2435) 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 1538134127.
Healthcare Provider's Profile
| Full Name | Lisa R Jacobs |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 29 Years |
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| Location | 4650 Signal Tree Dr Ste 1200, Timnath, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa R Jacobs graduated from medical school in 1997
NPI Data:
- NPI Number: 1538134127
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 05/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577459262
- Enrollment ID: I20040227000770
Medical Identifiers
Medical identifiers for Lisa R Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538134127 | NPI | - | NPPES |
| 29277523 | Medicaid | CO | |
| 11605559 | Other | CO | CAQH PIN |
| PSY.0002435 | Other | CO | PROFESSIONAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 2435 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Poudre Valley Medical Group Llc | 9638208549 | 2394 |
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. Lisa R Jacobs allows following entities to bill medicare on her behalf.
| Entity Name | Poudre Valley Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225356868
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
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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. Lisa R 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 |
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Lisa R Jacobs, PSYD
2695 Rocky Mountain Ave Ste 150,
Loveland, CO 80538-9071
Ph: (970) 624-4323 | Lisa R Jacobs, PSYD
4650 Signal Tree Dr Ste 1200,
Timnath, CO 80547-4908
Ph: (970) 237-7415 |
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