Dr Charles Edward Jacocks, MD in Fort Sam Houston, TX

Dr Charles Edward Jacocks, MD is a medicare enrolled "General Practice" physician in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-4808.

Dr Charles Edward Jacocks is licensed to practice in South Carolina (license number MD85083) 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 1104321967.

Contact Information

	Dr Charles Edward Jacocks, MD
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-4808
	(908) 282-3289

Map and Direction

Physician's Profile

Full Name	Dr Charles Edward Jacocks
Gender	Male
Speciality	General Practice
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104321967
Provider Enumeration Date: 03/26/2018
Last Update Date: 03/14/2024

Medicare PECOS Information:

PECOS PAC ID: 0446501902
Enrollment ID: I20220211000157

Medical Identifiers

Medical identifiers for Dr Charles Edward Jacocks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104321967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	MD85083 (South Carolina)	Secondary
208D00000X	General Practice	MD85083 (South Carolina)	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 Charles Edward Jacocks allows following entities to bill medicare on his behalf.

Entity Name	Singing River Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435

Entity Name	Singing River Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497

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 Charles Edward Jacocks 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 Charles Edward Jacocks, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (803) 983-5013	Dr Charles Edward Jacocks, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-4808

Reviews and Comments

General Practice Doctors in Fort Sam Houston, TX

Kole Holland Spaulding, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Ewell Maydell Hollis Iii, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-5586
Dr. Patrick John Matthews, D.O General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Graduate Medical Education, Fort Sam Houston, TX 78234 Phone: 210-916-8666
Kelley Marie Sonney, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3160
Kevin Lee, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8666
Elizabeth Koslow, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Thomas Mitchell, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0439

Dr Charles Edward Jacocks, MD - Medicare General Practice in Fort Sam Houston, TX