Dr Jacob Thomas Kingsley, MD - Medicare Dermatology in Ann Arbor, MI

Dr Jacob Thomas Kingsley, MD is a medicare enrolled "Dermatology" physician in Ann Arbor, Michigan. His current practice location is 1500 E Medical Center Dr # Tc1910, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 615-6874.

Dr Jacob Thomas Kingsley is licensed to practice in Michigan (license number 4351052086) 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 1760112320.

Contact Information

Dr Jacob Thomas Kingsley, MD
1500 E Medical Center Dr # Tc1910,
Ann Arbor, MI 48109-5000
(734) 615-6874
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob Thomas Kingsley
GenderMale
SpecialityDermatology
Location1500 E Medical Center Dr # Tc1910, Ann Arbor, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760112320
  • Provider Enumeration Date: 06/15/2022
  • Last Update Date: 07/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739556853
  • Enrollment ID: I20221102002706

Medical Identifiers

Medical identifiers for Dr Jacob Thomas Kingsley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760112320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 4351052086 (Michigan)Primary

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 Thomas Kingsley 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 Thomas Kingsley, MD
1500 E Medical Center Dr # Tc1910,
Ann Arbor, MI 48109-5000

Ph: () -
Dr Jacob Thomas Kingsley, MD
1500 E Medical Center Dr # Tc1910,
Ann Arbor, MI 48109-5000

Ph: (734) 615-6874

Reviews and Comments


Dermatology Doctors in Ann Arbor, MI

Yolanda Rosi Helfrich, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Dr. Jessica Marie Ghaferi, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3131 S State St Ste 309, Ann Arbor, MI 48108
Phone: 503-906-7300    Fax: 503-245-8219
Dr. Alexandra Cappiello Hristov, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109
Phone: 800-862-7284    
Dr. Frank Wang, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E. Medical Ctr Dr, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109
Phone: 734-936-4054    
Dr. Susan Riggs Runge, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1500 East Medical Center Drive, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109
Phone: 734-936-4054    
Mrs. Grace Ann Hile, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Rachel Fayne, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Drive, Tc 1910/spc 5314, Ann Arbor, MI 48109
Phone: 734-936-4054    Fax: 734-647-2540

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.