Dr Carolyn Jacob, MD in Chicago, IL

Dr Carolyn Jacob, MD is a medicare enrolled "Dermatology" physician in Chicago, Illinois. She went to University College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Chicago Cosmetic Surgery And Dermatology Sc and her current practice location is 515 N State St Ste 900, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 245-9965.

Dr Carolyn Jacob is licensed to practice in Illinois (license number 036102098) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265498083.

Contact Information

	Dr Carolyn Jacob, MD
	515 N State St Ste 900, Chicago, IL 60654
	(312) 245-9965
	(312) 245-9964

Map and Direction

Physician's Profile

Full Name	Dr Carolyn Jacob
Gender	Female
Speciality	Dermatology
Experience	29 Years
Location	515 N State St Ste 900, Chicago, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Carolyn Jacob attended and graduated from University College Of Medicine in 1995

NPI Data:

NPI Number: 1265498083
Provider Enumeration Date: 04/21/2006
Last Update Date: 02/05/2020

Medicare PECOS Information:

PECOS PAC ID: 3678530409
Enrollment ID: I20041215000359

Medical Identifiers

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

Identifier	Type	State	Issuer
1265498083	NPI	-	NPPES
036102098	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	036102098 (Illinois)	Secondary
207N00000X	Dermatology	036102098 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chicago Cosmetic Surgery And Dermatology Sc	8325005150	8

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 Carolyn Jacob allows following entities to bill medicare on her behalf.

Entity Name	Chicago Cosmetic Surgery And Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407068000 PECOS PAC ID: 8325005150 Enrollment ID: O20041214000324

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 Carolyn 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 Carolyn Jacob, MD 515 N State St Ste 900, Chicago, IL 60654-9104 Ph: (312) 245-9965	Dr Carolyn Jacob, MD 515 N State St Ste 900, Chicago, IL 60654 Ph: (312) 245-9965

Reviews and Comments

Dermatology Doctors in Chicago, IL

Edward B Li, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 676 N Saint Clair St Ste 1600, Chicago, IL 60611 Phone: 312-695-8106
Joaquin Carlos Brieva, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611 Phone: 312-695-8106 Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601 Phone: 312-263-4625 Fax: 312-263-5029
Dr. James A Ida Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 1663 W Carmen Ave, Chicago, IL 60640 Phone: 773-293-7500
Erin M Ibler, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Stephen L Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642 Phone: 773-276-1100 Fax: 773-276-1102

Dr Carolyn Jacob, MD - Medicare Dermatology in Chicago, IL