Dr Tessie Jacob, DDS in Southington, CT - Medicare Dentist Provider

Dr Tessie Jacob, DDS is a medicare enrolled "Dentist - General Practice" provider in Southington, Connecticut. Her current practice location is 1131 West Street, Building#1 Suite#5, Southington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 414-6897.

Dr Tessie Jacob is licensed to practice in Connecticut (license number 11465) 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 1477937183.

Contact Information

	Dr Tessie Jacob, DDS
	1131 West Street, Building#1 Suite#5, Southington, CT 06489-6006
	(860) 414-6897
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tessie Jacob
Gender	Female
Speciality	Dentist - General Practice
Location	1131 West Street, Southington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477937183
Provider Enumeration Date: 07/13/2015
Last Update Date: 07/01/2020

Medicare PECOS Information:

PECOS PAC ID: 4183923048
Enrollment ID: I20160427000591

Medical Identifiers

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

Identifier	Type	State	Issuer
1477937183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	11465 (Connecticut)	Secondary
1223G0001X	Dentist - General Practice	11465 (Connecticut)	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 Tessie 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 Tessie Jacob, DDS 1131 West Street, Building#1 Suite#5, Southington, CT 06489-6006 Ph: (860) 414-6897	Dr Tessie Jacob, DDS 1131 West Street, Building#1 Suite#5, Southington, CT 06489-6006 Ph: (860) 414-6897

Reviews and Comments

Dentist in Southington, CT

Nishit R Modi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 685 Queen St, #3, Southington, CT 06489 Phone: 860-863-5831
Dr. Jack Alkon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Southington, CT 06489 Phone: 860-621-6321
Dr. Griselda G Khoe, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 76 N Main St, Southington, CT 06489 Phone: 860-628-8868
Stephen W Colite, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 33 Meriden Avenue, Southington, CT 06489 Phone: 860-621-5040
Dr. Donald Christian Demas, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 27 Meriden Ave Ste 2a, Southington, CT 06489 Phone: 860-276-0333 Fax: 860-736-2220
Dr. John L Ceplenski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 27 Meriden Ave, Southington, CT 06489 Phone: 860-628-5531
Dr. Anthony J Stankewicz, D.D.S. M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 755 Queen St, Southington, CT 06489 Phone: 860-621-4400

Dr Tessie Jacob, DDS - Medicare Dentist in Southington, CT