Suni Jacob, APRN - Medicare Nurse Practitioner in Hamden, CT

Suni Jacob, APRN is a medicare enrolled "Nurse Practitioner" in Hamden, Connecticut. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family And Internal Medicine Of Dixwell Avenue and her current practice location is 2543 Dixwell Ave, Hamden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 230-4160.

Suni Jacob is licensed to practice in Connecticut (license number 003301) 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 1194709402.

Contact Information

Suni Jacob, APRN
2543 Dixwell Ave,
Hamden, CT 06514-1860
(203) 230-4160
Not Available



Provider's Profile

Full NameSuni Jacob
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location2543 Dixwell Ave, Hamden, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Suni Jacob graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1194709402
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 04/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113948241
  • Enrollment ID: I20051216000016

Medical Identifiers

Medical identifiers for Suni Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194709402NPI-NPPES
008043065MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 003301 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yale-new Haven HospitalNew haven, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family And Internal Medicine Of Dixwell Avenue85271485502

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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. Suni Jacob allows following entities to bill medicare on her behalf.
Entity NameFamily And Internal Medicine Of Dixwell Avenue
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962681684
PECOS PAC ID: 8527148550
Enrollment ID: O20080103000525

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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. Suni 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
Suni Jacob, APRN
161 Rochela Dr,
Southington, CT 06489-4671

Ph: (203) 525-5561
Suni Jacob, APRN
2543 Dixwell Ave,
Hamden, CT 06514-1860

Ph: (203) 230-4160

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Nurse Practitioner Nurses in Hamden, CT

Ashley Victoria Johnson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Hideaway Ln, Hamden, CT 06518
Phone: 254-466-6569    
Lynda A. Romita, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2200 Whitney Ave, Suite 240, Hamden, CT 06518
Phone: 203-287-5400    Fax: 203-281-3001
Christine Salamida,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2200 Whitney Ave, Suite 360, Hamden, CT 06518
Phone: 203-281-4463    
Mrs. Mary Ann Starkes, BSN,MSN,APRN,BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3074 Whitney Ave, Building One, Hamden, CT 06518
Phone: 203-248-9110    Fax: 203-287-2404
Deborah J Valin, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2080 Whitney Ave Ste 240, Hamden, CT 06518
Phone: 203-281-6228    Fax: 203-248-2881
Diana Greco, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2080 Whitney Ave, Suite 250, Hamden, CT 06518
Phone: 203-535-0262    
Mrs. Louise Silverman, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 60 Washington Ave, Hamden, CT 06518
Phone: 203-248-4362    Fax: 203-248-6933

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