Dr Jakob Jordan Jalowy, DDS is a medicare enrolled "Dentist - General Practice" provider in East Bernard, Texas. His current practice location is
901 Clubside Dr, East Bernard, Texas. You can reach out to his office (for appointments etc.) via phone at
(979) 335-4825.
Dr Jakob Jordan Jalowy is licensed to practice in Texas (license number 37562) 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 1558934612.
Healthcare Provider's Profile
| Full Name | Dr Jakob Jordan Jalowy |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 901 Clubside Dr, East Bernard, Texas |
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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: 1558934612
- Provider Enumeration Date: 07/19/2021
- Last Update Date: 07/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890229413
- Enrollment ID: I20241105002301
Medical Identifiers
Medical identifiers for Dr Jakob Jordan Jalowy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558934612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 37562 (Texas) | 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 Jakob Jordan Jalowy allows following entities to bill medicare on his behalf.
| Entity Name | Stephen F Austin Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578730818
PECOS PAC ID: 6204977127
Enrollment ID: O20100113000886 |
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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 Jakob Jordan Jalowy 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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Dr Jakob Jordan Jalowy, DDS
5402 Hickory Harvest Dr,
Richmond, TX 77407-4088
Ph: (979) 257-6040 | Dr Jakob Jordan Jalowy, DDS
901 Clubside Dr,
East Bernard, TX 77435-8759
Ph: (979) 335-4825 |
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