Dr Katherine Anne Jacobs, MD is a medicare enrolled "Ophthalmology" physician in Avon, Ohio. She went to West Virginia University School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Ophthalmology. Her current practice location is
37500 Harvest Ave, Avon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 272-2663.
Dr Katherine Anne Jacobs is licensed to practice in Ohio (license number 35052754) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376599712.
Physician's Profile
| Full Name | Dr Katherine Anne Jacobs |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 43 Years |
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| Location | 37500 Harvest Ave, Avon, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Katherine Anne Jacobs attended and graduated from West Virginia University School Of Medicine in 1982
NPI Data:
- NPI Number: 1376599712
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 12/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 2961592142
- Enrollment ID: I20071212000575
Medical Identifiers
Medical identifiers for Dr Katherine Anne Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376599712 | NPI | - | NPPES |
| E52754 | Other | OH | SUMMA HEALTH CARE |
| 140766 | Other | OH | ANTHEM PIN # |
| 0632088 | Medicaid | OH | |
| 1027671530001 | Medicaid | PA | |
| 107166 | Other | OH | KAISER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 20150 (West Virginia) | Secondary |
| 207W00000X | Ophthalmology | MD447449 (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | ME60862 (Florida) | Secondary |
| 207W00000X | Ophthalmology | MD017041 (Louisiana) | Secondary |
| 207W00000X | Ophthalmology | 35052754 (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 Katherine Anne Jacobs allows following entities to bill medicare on her behalf.
| Entity Name | Spectrum Eye Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821095381
PECOS PAC ID: 6103850581
Enrollment ID: O20050925000021 |
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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 Katherine Anne Jacobs 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 Katherine Anne Jacobs, MD
5883 Hickory Trl,
N Ridgeville, OH 44039-2650
Ph: (216) 272-2663 | Dr Katherine Anne Jacobs, MD
37500 Harvest Ave,
Avon, OH 44011-2804
Ph: (216) 272-2663 |
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