Dr Jacob Stephen, MD in Sycamore, IL - Medicare Interventional Cardiology

Dr Jacob Stephen, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Sycamore, Illinois. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Central Dupage Physician Group and his current practice location is 1850 Gateway Dr, Sycamore, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 232-0280.

Dr Jacob Stephen is licensed to practice in Illinois (license number 036133593) 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 1174624415.

Contact Information

	Dr Jacob Stephen, MD
	1850 Gateway Dr, Sycamore, IL 60178-3192
	(630) 232-0280
	(630) 232-3895

Map and Direction

Physician's Profile

Full Name	Dr Jacob Stephen
Gender	Male
Speciality	Interventional Cardiology
Experience	25 Years
Location	1850 Gateway Dr, Sycamore, Illinois
Accepts Medicare Assignments	Yes. 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 Stephen graduated from medical school in 1999

NPI Data:

NPI Number: 1174624415
Provider Enumeration Date: 09/26/2006
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4082836952
Enrollment ID: I20161012001285

Medical Identifiers

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

Identifier	Type	State	Issuer
1174624415	NPI	-	NPPES
206147	Other	IL	MEDICARE GROUP PTAN
F40332641	Other	IL	MEDICARE INDIVID PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	35.083380 (Ohio)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	036133593 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kishwaukee Community Hospital	Dekalb, IL	Hospital
Central Dupage Hospital	Winfield, IL	Hospital
Valley West Community Hospital	Sandwich, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Dupage Physician Group	5890696231	977

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 Stephen allows following entities to bill medicare on his behalf.

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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 Stephen 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 Stephen, MD 5 Kish Hospital Dr Ste 103, Dekalb, IL 60115-9602 Ph: (630) 232-0280	Dr Jacob Stephen, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (630) 232-0280

Reviews and Comments

Internal Medicine Doctors in Sycamore, IL

Dr. Paul H Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 Hauser Ross Drive, Suite 325, Sycamore, IL 60178 Phone: 815-758-7700
Dr. Mohammad Taghi Takhtehchian, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 Edward St, Sycamore, IL 60178 Phone: 815-895-2144
Mujahid Mohammad Hussain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-756-1521
Periakaruppan Ramanathan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2535 Bethany Road, #110, Sycamore, IL 60178 Phone: 815-756-1434 Fax: 815-756-4776
Roger Haab, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671
Bhavisha Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Kishhealth System Physician Group, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-5491

Dr Jacob Stephen, MD - Medicare Interventional Cardiology in Sycamore, IL