Dr Jacob Joseph Chevlen, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in North Bergen, New Jersey. His current practice location is
7600 River Rd, North Bergen, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 854-5000.
Dr Jacob Joseph Chevlen is licensed to practice in * (Not Available) (license number ) 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 1619504859.
Physician's Profile
Full Name | Dr Jacob Joseph Chevlen |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 7600 River Rd, North Bergen, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619504859
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 07/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527450907
- Enrollment ID: I20220114000736
Medical Identifiers
Medical identifiers for Dr Jacob Joseph Chevlen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619504859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 34.015264 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Joseph Chevlen allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
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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 Joseph Chevlen 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 Joseph Chevlen, DO 1383 Virginia Trl, Youngstown, OH 44505-1642 Ph: () - | Dr Jacob Joseph Chevlen, DO 7600 River Rd, North Bergen, NJ 07047-6217 Ph: (201) 854-5000 |
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