Jacob Sjirk Saslow, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Syracuse, New York. His current practice location is
1045 James St, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 530-2290.
Jacob Sjirk Saslow is licensed to practice in New York (license number F403586) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760869408.
Healthcare Provider's Profile
| Full Name | Jacob Sjirk Saslow |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1045 James St, Syracuse, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760869408
- Provider Enumeration Date: 05/01/2015
- Last Update Date: 09/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577968536
- Enrollment ID: I20210830001085
Medical Identifiers
Medical identifiers for Jacob Sjirk Saslow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760869408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 008076-1 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403586 (New York) | 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. Jacob Sjirk Saslow allows following entities to bill medicare on his behalf.
| Entity Name | Liberty Resources Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225254881
PECOS PAC ID: 4486703352
Enrollment ID: O20090526000025 |
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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. Jacob Sjirk Saslow 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 |
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Jacob Sjirk Saslow, PMHNP-BC
1045 James St,
Syracuse, NY 13203-2730
Ph: (315) 530-2290 | Jacob Sjirk Saslow, PMHNP-BC
1045 James St,
Syracuse, NY 13203-2730
Ph: (315) 530-2290 |
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