Dr Jacob John Fakoory, MD in Glendale, CA - Medicare Emergency Medicine

Dr Jacob John Fakoory, MD is a medicare enrolled "Emergency Medicine" physician in Glendale, California. His current practice location is 1420 S Central Ave, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 502-2344.

Dr Jacob John Fakoory is licensed to practice in California (license number C39375) 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 1134160609.

Contact Information

	Dr Jacob John Fakoory, MD
	1420 S Central Ave, Glendale, CA 91204-2508
	(818) 502-2344
	(818) 502-4501

Map and Direction

Physician's Profile

Full Name	Dr Jacob John Fakoory
Gender	Male
Speciality	Emergency Medicine
Location	1420 S Central Ave, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134160609
Provider Enumeration Date: 06/08/2006
Last Update Date: 02/28/2008

Medicare PECOS Information:

PECOS PAC ID: 8527014315
Enrollment ID: I20050324000576

Medical Identifiers

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

Identifier	Type	State	Issuer
1134160609	NPI	-	NPPES
00C393750	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	C39375 (California)	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 Jacob John Fakoory allows following entities to bill medicare on his behalf.

Entity Name	Michael S. Agron, M.d., Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699716100 PECOS PAC ID: 2668360736 Enrollment ID: O20040707000788

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 John Fakoory 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 Jacob John Fakoory, MD 1227 Arno Dr, Sierra Madre, CA 91024-1568 Ph: (626) 355-8121	Dr Jacob John Fakoory, MD 1420 S Central Ave, Glendale, CA 91204-2508 Ph: (818) 502-2344

Reviews and Comments

Emergency Medicine Doctors in Glendale, CA

Cheryl Lee Jang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206 Phone: 818-863-4000
Dr. Josiah Friedlander, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1420 S Central Ave, Glendale, CA 91204 Phone: 818-502-2344 Fax: 818-502-4501
Dr. Gil Z Shlamovitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100
Peter Utas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206 Phone: 818-409-8000
Peter E Shin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1509 Wilson Ter, Emergency Dept. - Glendale Adventist Medical Center, Glendale, CA 91206 Phone: 818-409-8000
Dr. Ryan Raam, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100

Dr Jacob John Fakoory, MD - Medicare Emergency Medicine in Glendale, CA