Dr Jacob Carmen Yannetta Iii, DO - Medicare Vascular Surgery in Beavercreek, OH

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Dr Jacob Carmen Yannetta Iii, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Beavercreek, Ohio. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2002 and has 22 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 2141 N Fairfield Rd, Ste. B, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 458-0025.

Dr Jacob Carmen Yannetta Iii is licensed to practice in Ohio (license number 34008653) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992873046.

Contact Information

Dr Jacob Carmen Yannetta Iii, DO
2141 N Fairfield Rd, Ste. B,
Beavercreek, OH 45431-2578
(937) 458-0025
(937) 458-0212

Map and Direction




Physician's Profile

Full NameDr Jacob Carmen Yannetta Iii
GenderMale
SpecialityVascular Surgery
Experience22 Years
Location2141 N Fairfield Rd, Beavercreek, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacob Carmen Yannetta Iii attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2002
  NPI Data:
  • NPI Number: 1992873046
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 11/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082709340
  • Enrollment ID: I20071001000773

Medical Identifiers

Medical identifiers for Dr Jacob Carmen Yannetta Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992873046NPI-NPPES
2774869MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 34.008653 (Ohio)Secondary
2086S0129XSurgery - Vascular Surgery 34008653 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grandview And Southview HospitalsDayton, OHHospital
Soin Medical CenterBeaver creek, OHHospital
Troy HospitalTroy, OHHospital
Greene Memorial HospitalXenia, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

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 Jacob Carmen Yannetta Iii allows following entities to bill medicare on his behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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 Jacob Carmen Yannetta Iii 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 Jacob Carmen Yannetta Iii, DO
2141 N Fairfield Rd, Ste. B,
Beavercreek, OH 45431-2578

Ph: (937) 458-0025		Dr Jacob Carmen Yannetta Iii, DO
2141 N Fairfield Rd, Ste. B,
Beavercreek, OH 45431-2578

Ph: (937) 458-0025

Reviews and Comments


Surgery Doctors in Beavercreek, OH

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Alyssa Jennifer Gans, MD
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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.