Mr Jacob Andrew Scott, CRNP - Medicare Nurse Practitioner in Athens, AL

Mr Jacob Andrew Scott, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Athens, Alabama. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Revival Psychiatry and his current practice location is 15884 E Limestone Rd, Athens, Alabama. You can reach out to his office (for appointments etc.) via phone at (125) 644-4451.

Mr Jacob Andrew Scott is licensed to practice in Alabama (license number 1-148777) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801314356.

Contact Information

Mr Jacob Andrew Scott, CRNP
15884 E Limestone Rd,
Athens, AL 35613-7522
(125) 644-4451
(256) 444-2797



Provider's Profile

Full NameMr Jacob Andrew Scott
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location15884 E Limestone Rd, Athens, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jacob Andrew Scott graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1801314356
  • Provider Enumeration Date: 09/05/2017
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436585502
  • Enrollment ID: I20200209000014

Medical Identifiers

Medical identifiers for Mr Jacob Andrew Scott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801314356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN.1637541 (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 1-148777 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Revival Psychiatry15577504782

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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. Mr Jacob Andrew Scott allows following entities to bill medicare on his behalf.
Entity NameRevival Psychiatry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073285987
PECOS PAC ID: 1557750478
Enrollment ID: O20211116000680

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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. Mr Jacob Andrew Scott 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
Mr Jacob Andrew Scott, CRNP
15884 E Limestone Rd,
Athens, AL 35613-7522

Ph: (125) 644-4451
Mr Jacob Andrew Scott, CRNP
15884 E Limestone Rd,
Athens, AL 35613-7522

Ph: (125) 644-4451

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Nurse Practitioner Nurses in Athens, AL

Zachary Andrew Curtis, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 256-233-9292    
Marla Renee Mcclure, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12100 Two Rivers Dr Apt J-1, Athens, AL 35611
Phone: 564-600-2472    
Anne Tate Wilson, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Fitness Way, Suite 1200, Athens, AL 35611
Phone: 256-232-0636    Fax: 256-232-1281
Lindsay Traynom, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22454 Us Highway 72 Ste 200, Athens, AL 35613
Phone: 256-233-2332    
Diane Goodman Waits, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 800-893-9698    
April Seay, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7715 Us Highway 72, Athens, AL 35611
Phone: 256-729-9477    
Christina C Vail, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 W Market St, Athens, AL 35611
Phone: 256-233-9292    

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