Dr Louis Israel Jacobs, DO is a medicare enrolled "Neurological Surgery" physician in Garden City, Michigan. His current practice location is
6255 Inkster Rd, Suite #206, Garden City, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 421-0044.
Dr Louis Israel Jacobs is licensed to practice in Michigan (license number LJ006797) 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 1174522163.
Physician's Profile
| Full Name | Dr Louis Israel Jacobs |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 6255 Inkster Rd, Garden City, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174522163
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 12/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 6608934716
- Enrollment ID: I20081017000721
Medical Identifiers
Medical identifiers for Dr Louis Israel Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174522163 | NPI | - | NPPES |
| 1367083 | Medicaid | MI | |
| 5821167 | Other | MI | BCBSM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | LJ006797 (Michigan) | 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 Louis Israel Jacobs allows following entities to bill medicare on his behalf.
| Entity Name | Prime Garden City Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598179954
PECOS PAC ID: 6901702133
Enrollment ID: O20031209000857 |
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| Entity Name | Beaumont Medical Group- Specialty Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549 |
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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 Louis Israel 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 |
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Dr Louis Israel Jacobs, DO
18181 Oakwood Blvd 403,
Dearborn, MI 48124-3960
Ph: (313) 982-5290 | Dr Louis Israel Jacobs, DO
6255 Inkster Rd, Suite #206,
Garden City, MI 48135-2577
Ph: (734) 421-0044 |
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