Dr Elizabeth S Jacobs, MD - Medicare Pediatrics in Providence, RI

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Dr Elizabeth S Jacobs, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Providence, Rhode Island. Her current practice location is 593 Eddy St, Claverick 2, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 519-1604.

Dr Elizabeth S Jacobs is licensed to practice in Rhode Island (license number MD12366) 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 1871516963.

Contact Information

Dr Elizabeth S Jacobs, MD
593 Eddy St, Claverick 2,
Providence, RI 02903
(401) 519-1604
(401) 272-0538

Map and Direction




Physician's Profile

Full NameDr Elizabeth S Jacobs
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871516963
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 02/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9234220419
  • Enrollment ID: I20070801000705

Medical Identifiers

Medical identifiers for Dr Elizabeth S Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871516963NPI-NPPES
09/13/2007OtherRINHPRI
1871516MedicaidRI
1871516963OtherRINPI
04/15/2009OtherRIUNITED HEALTHCARE
12/29/2008OtherMATUFTS HEALTH PLAN
2135001MedicaidMA
07/24/2007OtherRIBCBS
007059436OtherRIRI MEDICARE
939025129OtherRIRI MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0204XPediatrics - Pediatric Emergency Medicine MD12366 (Rhode Island)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 Elizabeth S Jacobs allows following entities to bill medicare on her behalf.
Entity NameBrown Emergency Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962455022
PECOS PAC ID: 7214833169
Enrollment ID: O20040116000868
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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 Elizabeth S Jacobs 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
Dr Elizabeth S Jacobs, MD
Po Box 9484,
Providence, RI 02940-9484

Ph: (401) 854-2500		Dr Elizabeth S Jacobs, MD
593 Eddy St, Claverick 2,
Providence, RI 02903

Ph: (401) 519-1604

Reviews and Comments


Pediatrics Doctors in Providence, RI

Sara Regan Ford, MD
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Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903
Phone: 401-444-4612    Fax: 401-793-8831
Jennifer F Friedman, MD
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Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-3870
Jason Shapiro, MD
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Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Dr. Mikhaela Monty, M.D.
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Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-4471    Fax: 401-444-7574
Dale Steele, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-854-2504    Fax: 401-854-2519
Chase B Samsel, MD
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Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Adebimpe Olubusayo Adewusi, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903
Phone: 401-444-2877    Fax: 401-444-3804

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).

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