MS. JEANNE JACOBS (PT, PA-C) – Medical Physician Assistant, NPI 1770753022
Medical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
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Provider Addresses for MS. JEANNE JACOBS (PT, PA-C)
104, Quarry Street, Avalon Quincy Apartments, Quincy, Norfolk County, Massachusetts, 02169, United States
FIRST FLOOR
QUINCY, MA 021697564
Phone: (617) 770-4167
Fax: (617) 770-0971
Type: Mailing
21 Totman Street, 21, Totman Street, South Quincy, Quincy, Norfolk County, Massachusetts, 02269, United States
FIRST FLOOR
QUINCY, MA 021697564
Phone: (617) 770-4167
Fax: (617) 770-0971
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120224000027 | I | Physician Assistant | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02169)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology/Oncology, Internal Medicine | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Hematology/Oncology, Pediatric Medicine | MA | |
| Radiation Oncology | MA | |
| - | MA | |
| Medical Oncology | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | MA | |
| Hematology, Internal Medicine | MA | |
| Orthopedic Surgery | MA | |
| Hematology, Medical Oncology | MA |
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