Wendy Jacobs, Jd, Phd, Pa - Medicare Mental Health Clinic in Sarasota, FL

Wendy Jacobs, Jd, Phd, Pa is a medicare enrolled mental health clinic (Psychologist - Clinical) in Sarasota, Florida. The current practice location for Wendy Jacobs, Jd, Phd, Pa is 2650 Bahia Vista St Ste 201, Sarasota, Florida. For appointments, you can reach them via phone at (941) 402-7520. The mailing address for Wendy Jacobs, Jd, Phd, Pa is Po Box 17263, Sarasota, Florida and phone number is (941) 402-7520.

Wendy Jacobs, Jd, Phd, Pa is licensed to practice in Florida (license number PY6367). The clinic also participates in the medicare program and its NPI number is 1447520010. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (941) 402-7520.

Contact Information

Wendy Jacobs, Jd, Phd, Pa
2650 Bahia Vista St Ste 201
Sarasota
FL 34239-2625
(941) 402-7520
Not Available

Mental Health Clinic Profile

Full NameWendy Jacobs, Jd, Phd, Pa
SpecialityPsychologist
Location2650 Bahia Vista St Ste 201, Sarasota, Florida
Authorized Official Name and PositionWendy L Jacobs (OWNER)
Authorized Official Contact9414027520
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wendy Jacobs, Jd, Phd, Pa
Po Box 17263
Sarasota
FL 34276-0263

Ph: (941) 402-7520
Wendy Jacobs, Jd, Phd, Pa
2650 Bahia Vista St Ste 201
Sarasota
FL 34239-2625

Ph: (941) 402-7520

NPI Details:

NPI Number1447520010
Provider Enumeration Date01/12/2012
Last Update Date11/10/2020
Certification Date11/10/2020

Medicare PECOS Information:

Medicare PECOS PAC ID5294902359
Medicare Enrollment IDO20120113000196

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Medical Identifiers

Medical identifiers for Wendy Jacobs, Jd, Phd, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447520010NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY6367 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wendy Jacobs, Jd, Phd, Pa acts as a billing entity for following providers:
Provider NameWendy L Jacobs
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1174633242
PECOS PAC ID: 1759557341
Enrollment ID: I20120103000503

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