Dr Jacob Ezra Conklin, MD - Medicare Internal Medicine in Upper Sandusky, OH

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Dr Jacob Ezra Conklin, MD is a medicare enrolled "Internal Medicine" physician in Upper Sandusky, Ohio. He went to Ohio State University College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Wyandot Memorial Hospital, Hospitalist Medicine Physicians Of Ohio, Professional Corporation, University Hospitals Medical Group Inc and his current practice location is 885 N Sandusky Ave, Upper Sandusky, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 731-4282.

Dr Jacob Ezra Conklin is licensed to practice in Ohio (license number 35091628) 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 1588842314.

Contact Information

Dr Jacob Ezra Conklin, MD
885 N Sandusky Ave,
Upper Sandusky, OH 43351-1098
(419) 731-4282
(419) 731-4163

Map and Direction




Physician's Profile

Full NameDr Jacob Ezra Conklin
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location885 N Sandusky Ave, Upper Sandusky, 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 Ezra Conklin attended and graduated from Ohio State University College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1588842314
  • Provider Enumeration Date: 02/04/2008
  • Last Update Date: 08/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0244303881
  • Enrollment ID: I20080715000941

Medical Identifiers

Medical identifiers for Dr Jacob Ezra Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588842314NPI-NPPES
2916778MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD-53141 (Iowa)Secondary
207R00000XInternal Medicine C2450 (Kentucky)Secondary
207R00000XInternal Medicine 35091628 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospice Of Wyandot County IncUpper sandusky, OHHospice
Wyandot Memorial HospitalUpper sandusky, OHHospital
Union HospitalDover, OHHospital
Uh Regional HospitalsRichmond heights, OHHospital
University Hospitals - Elyria Medical CenterElyria, OHHospital
University Hospitals Of ClevelandCleveland, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wyandot Memorial Hospital155734018958
Hospitalist Medicine Physicians Of Ohio, Professional Corporation3779749197119
University Hospitals Medical Group Inc47896824931542

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 Ezra Conklin allows following entities to bill medicare on his behalf.
Entity NameHospitalist Medicine Physicians Of Richland County, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639119027
PECOS PAC ID: 4284538430
Enrollment ID: O20031120000557
Entity NameWyandot Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477554475
PECOS PAC ID: 1557340189
Enrollment ID: O20040716001163
Entity NameApogee Medical Group Ohio Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477500999
PECOS PAC ID: 8224082292
Enrollment ID: O20050311000733
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity NameHospitalist Medicine Physicians Of Ohio, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043572290
PECOS PAC ID: 3779749197
Enrollment ID: O20120730000162
Entity NameBay View Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699288753
PECOS PAC ID: 7214299171
Enrollment ID: O20180313001706
Entity NameMercy Health Physicians Lima Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518589803
PECOS PAC ID: 7012332364
Enrollment ID: O20200803002433

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 Ezra Conklin 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 Ezra Conklin, MD
885 N Sandusky Ave,
Upper Sandusky, OH 43351-1098

Ph: (419) 294-4991		Dr Jacob Ezra Conklin, MD
885 N Sandusky Ave,
Upper Sandusky, OH 43351-1098

Ph: (419) 731-4282

Reviews and Comments


Internal Medicine Doctors in Upper Sandusky, OH

Dr. Elizabeth B Russell, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 885 N Sandusky Ave, Upper Sandusky, OH 43351
Phone: 419-294-4991    Fax: 419-294-4750
Mr. Tejas B Lodhawala, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 885 N Sandusky Ave, Upper Sandusky, OH 43351
Phone: 419-294-4991    Fax: 419-209-0278

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.