Dr Susanna Jacob, DDS in Amenia, NY - Medicare Dentist Provider

Dr Susanna Jacob, DDS is a medicare enrolled "Dentist" provider in Amenia, New York. Her current practice location is 3360 Route 343, Amenia, New York. You can reach out to her office (for appointments etc.) via phone at (845) 838-7038.

Dr Susanna Jacob is licensed to practice in New York (license number 058297-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851775563.

Contact Information

	Dr Susanna Jacob, DDS
	3360 Route 343, Amenia, NY 12501-5619
	(845) 838-7038
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susanna Jacob
Gender	Female
Speciality	Dentist
Location	3360 Route 343, Amenia, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851775563
Provider Enumeration Date: 07/13/2015
Last Update Date: 02/05/2016

Medicare PECOS Information:

PECOS PAC ID: 5193022747
Enrollment ID: I20160324001544

Medical Identifiers

Medical identifiers for Dr Susanna Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851775563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	058297-1 (New York)	Primary

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 Susanna 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 Susanna Jacob, DDS 3360 Route 343, Amenia, NY 12501-5619 Ph: (845) 838-7038	Dr Susanna Jacob, DDS 3360 Route 343, Amenia, NY 12501-5619 Ph: (845) 838-7038

Reviews and Comments

Dentist in Amenia, NY

Derik E Stucker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3360 Route 343, Hudson River Healthcare, Inc., Amenia, NY 12501 Phone: 845-838-7038 Fax: 845-373-7021
Dr. Zhi Wei Cheung, DDS Dentist Medicare: Medicare Enrolled Practice Location: 66 Broadway, Amenia, NY 12501 Phone: 845-373-9022
Dr. William J. Hayhurst, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 66 Broadway, Amenia, NY 12501 Phone: 845-373-9022 Fax: 845-373-8225
Dr. Alexandra Cernasov, DDS Dentist Medicare: Medicare Enrolled Practice Location: 66 Broadway, Amenia, NY 12501 Phone: 845-373-9022

Dr Susanna Jacob, DDS - Medicare Dentist in Amenia, NY