Dr Emmanuel Egipto Jacob, MD is a medicare enrolled "Specialist" provider in Plains, Pennsylvania. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1984 and has 40 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. His current practice location is
39 South River Street, Plains, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 822-9514.
Dr Emmanuel Egipto Jacob is licensed to practice in Pennsylvania (license number MD026644E) 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 1912090689.
Healthcare Provider's Profile
Full Name | Dr Emmanuel Egipto Jacob |
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Gender | Male |
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Speciality | Physical Medicine And Rehabilitation |
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Experience | 40 Years |
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Location | 39 South River Street, Plains, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Emmanuel Egipto Jacob attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1984
NPI Data:
- NPI Number: 1912090689
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 12/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 5991970295
- Enrollment ID: I20111215000522
Medical Identifiers
Medical identifiers for Dr Emmanuel Egipto Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912090689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AK000322L (Pennsylvania) | Secondary |
174400000X | Specialist | MD026644E (Pennsylvania) | Primary |
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. Dr Emmanuel Egipto Jacob allows following entities to bill medicare on his behalf.
Provider Name | Wyoming Valley Pain Clinic & Rehabilitation Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1780704619 PECOS PAC ID: 4082889381 Enrollment ID: O20111215000442 |
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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. Dr Emmanuel Egipto 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 Address | Practice Location Address |
Dr Emmanuel Egipto Jacob, MD 39 South River Street, Plains, PA 18705 Ph: (570) 822-9514 | Dr Emmanuel Egipto Jacob, MD 39 South River Street, Plains, PA 18705 Ph: (570) 822-9514 |
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