Dr Jacob N Maciejewski, MD in Perrysburg, OH

Dr Jacob N Maciejewski, MD is a medicare enrolled "Pediatrics" physician in Perrysburg, Ohio. His current practice location is 1601 Brigham Dr, Suite 200, Perrysburg, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 872-7700.

Dr Jacob N Maciejewski is licensed to practice in Ohio (license number 35.093510) 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 1437313244.

Contact Information

	Dr Jacob N Maciejewski, MD
	1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114
	(419) 872-7700
	(419) 847-0196

Map and Direction

Physician's Profile

Full Name	Dr Jacob N Maciejewski
Gender	Male
Speciality	Pediatrics
Location	1601 Brigham Dr, Perrysburg, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437313244
Provider Enumeration Date: 07/11/2008
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 2062653496
Enrollment ID: I20160805002060

Medical Identifiers

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

Identifier	Type	State	Issuer
1437313244	NPI	-	NPPES
000000625705	Other	OH	ANTHEM
05815	Other		PHC
2950230	Medicaid	OH
9708368	Other	OH	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.093510 (Ohio)	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 N Maciejewski allows following entities to bill medicare on his behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

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 N Maciejewski 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 N Maciejewski, MD 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 Ph: (419) 872-7700	Dr Jacob N Maciejewski, MD 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 Ph: (419) 872-7700

Reviews and Comments

Pediatrics Doctors in Perrysburg, OH

Jon R Dvorak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196
Carol A Kennedy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196
Vidya K Ramanathan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196
Dr. Jennifer K. Fallon-delucia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 28555 Starbright Blvd Ste B, Perrysburg, OH 43551 Phone: 419-931-3030 Fax: 419-931-3046
Kenneth A Turk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 Brigham Dr Ste 240, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196
Dr. Colleen J Olson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Brigham Dr Ste 200, Perrysburg, OH 43551 Phone: 419-872-7700 Fax: 419-874-0196

Dr Jacob N Maciejewski, MD - Medicare Pediatrics in Perrysburg, OH