Anne Usha Jacob, MBBS - Medicare Family Medicine in Saint Louis, MO

Anne Usha Jacob, MBBS is a medicare enrolled "Family Medicine" physician in Saint Louis, Missouri. Her current practice location is 3649 Page Blvd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 288-0071.

Anne Usha Jacob is licensed to practice in Missouri (license number 2015008169) 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 1033107636.

Contact Information

Anne Usha Jacob, MBBS
3649 Page Blvd,
Saint Louis, MO 63113-3807
(314) 288-0071
(314) 758-5210

Map and Direction




Physician's Profile

Full NameAnne Usha Jacob
GenderFemale
SpecialityFamily Medicine
Location3649 Page Blvd, Saint Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033107636
  • Provider Enumeration Date: 10/10/2005
  • Last Update Date: 03/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638257215
  • Enrollment ID: I20150623001975

Medical Identifiers

Medical identifiers for Anne Usha Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033107636NPI-NPPES
350431000MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 42911 (Minnesota)Secondary
207Q00000XFamily Medicine 2015008169 (Missouri)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. Anne Usha Jacob allows following entities to bill medicare on her behalf.
Entity NameSsm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034
Entity NameDedicated Missouri Holding, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053958082
PECOS PAC ID: 5395176820
Enrollment ID: O20200515001886

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. Anne Usha 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 AddressPractice Location Address
Anne Usha Jacob, MBBS
3649 Page Blvd,
Saint Louis, MO 63113-3807

Ph: (314) 288-0071
Anne Usha Jacob, MBBS
3649 Page Blvd,
Saint Louis, MO 63113-3807

Ph: (314) 288-0071

Reviews and Comments


Family Medicine Doctors in Saint Louis, MO

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Dr. Alan Valente A Padua, M.D.
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Phone: 314-722-4741    Fax: 314-722-4731

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.