Dr Jay H Shubrook, DO - Medicare Family Medicine in Vallejo, CA

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Dr Jay H Shubrook, DO is a medicare enrolled "Family Medicine" physician in Vallejo, California. His current practice location is 365 Tuolumne St, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (707) 553-5509.

Dr Jay H Shubrook is licensed to practice in California (license number 20A7399) 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 1336179704.

Contact Information

Dr Jay H Shubrook, DO
365 Tuolumne St,
Vallejo, CA 94590-5700
(707) 553-5509
(707) 553-5658

Map and Direction




Physician's Profile

Full NameDr Jay H Shubrook
GenderMale
SpecialityFamily Medicine
Location365 Tuolumne St, Vallejo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336179704
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 05/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4688638943
  • Enrollment ID: I20190718003169

Medical Identifiers

Medical identifiers for Dr Jay H Shubrook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336179704NPI-NPPES
2120654MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34006696S (Ohio)Secondary
207Q00000XFamily Medicine 20A7399 (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 Jay H Shubrook allows following entities to bill medicare on his behalf.
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409
Entity NameOle Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700976503
PECOS PAC ID: 7315934767
Enrollment ID: O20040427001735

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 Jay H Shubrook 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 Jay H Shubrook, DO
365 Tuolumne St,
Vallejo, CA 94590-5700

Ph: (707) 553-5509		Dr Jay H Shubrook, DO
365 Tuolumne St,
Vallejo, CA 94590-5700

Ph: (707) 553-5509

Reviews and Comments


Family Medicine Doctors in Vallejo, CA

Laurena Nelly Dongmo Fotsing,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 365 Tuolumne St, Vallejo, CA 94590
Phone: 707-553-5509    
Donn R. Erickson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Archana Krishnan,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Saw Sein, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hospital Dr Ste 304, Vallejo, CA 94589
Phone: 707-643-6483    Fax: 707-643-3018
Dr. Gabriel Flaxman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1025    
Yasmin Crespo-mejias, MD, MPH
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-4801    
Aaser Ali,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    

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.