Dr Jack Jacob, MD in Anchorage, AK

Dr Jack Jacob, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Anchorage, Alaska. His current practice location is 3340 Providence Dr, Suite 366, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 563-3026.

Dr Jack Jacob is licensed to practice in Alaska (license number 1643) 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 1437111093.

Contact Information

	Dr Jack Jacob, MD
	3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616
	(907) 563-3026
	(907) 562-6445

Map and Direction

Physician's Profile

Full Name	Dr Jack Jacob
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	3340 Providence Dr, Anchorage, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437111093
Provider Enumeration Date: 04/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1951572163
Enrollment ID: I20110920000484

Medical Identifiers

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

Identifier	Type	State	Issuer
1437111093	NPI	-	NPPES
MD1643	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	1643 (Alaska)	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 Jack 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 Jack Jacob, MD 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616 Ph: (907) 563-3026	Dr Jack Jacob, MD 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616 Ph: (907) 563-3026

Reviews and Comments

Pediatrics Doctors in Anchorage, AK

Elizabeth Mumford Galloway, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3200 Providence Dr, Anchorage, AK 99508 Phone: 907-562-2211 Fax: 509-479-0214
Wendy Bailey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3340 Providence Dr, Suite A-351, Anchorage, AK 99508 Phone: 907-212-4824 Fax: 907-212-4831
Jay D. Johnson, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508 Phone: 907-212-6900
Dr. Stephen Scott Baker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2841 Debarr Rd, Bldg A, Suite 23, Anchorage, AK 99508 Phone: 907-677-1864 Fax: 907-868-5167
Dr. Rachel Mauryce Kerford Lescher, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4320 Diplomacy Dr, Suite 2300, Anchorage, AK 99508 Phone: 907-729-1000 Fax: 907-729-5244
Dr. James Monroe Nesbitt Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3200 Providence Dr, Administration Office, Anchorage, AK 99508 Phone: 907-261-5098 Fax: 907-743-2358
Dr. Emily Margaret Reilly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-729-4068

Dr Jack Jacob, MD - Medicare Pediatrics in Anchorage, AK