Dr Mariamma Jacob, MD in Brooklyn, NY

Dr Mariamma Jacob, MD is a medicare enrolled "Pediatrics" physician in Brooklyn, New York. Her current practice location is 451 Clarkson Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 245-3638.

Dr Mariamma Jacob is licensed to practice in New York (license number 191017) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477539567.

Contact Information

	Dr Mariamma Jacob, MD
	451 Clarkson Ave, Brooklyn, NY 11203-2057
	(718) 245-3638
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mariamma Jacob
Gender	Female
Speciality	Pediatrics
Location	451 Clarkson Ave, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477539567
Provider Enumeration Date: 12/20/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1052366713
Enrollment ID: I20070510000197

Medical Identifiers

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

Identifier	Type	State	Issuer
1477539567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	191017 (New York)	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 Mariamma Jacob allows following entities to bill medicare on her behalf.

Entity Name	Newark Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539

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 Mariamma Jacob 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 Mariamma Jacob, MD 2 Katharina Pl, Township Of Washington, NJ 07676-4125 Ph: (201) 447-6609	Dr Mariamma Jacob, MD 451 Clarkson Ave, Brooklyn, NY 11203-2057 Ph: (718) 245-3638

Reviews and Comments

Pediatrics Doctors in Brooklyn, NY

Dr. Sadhana Bose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1545 Atlantic Ave, Interfaith Medical Center, Brooklyn, NY 11213 Phone: 718-613-4000
Dr. Joanne Moreau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 32 Court St Ste 1200, Brooklyn, NY 11201 Phone: 929-239-4495
Dr. Danielle Abadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 506 6th St, Brooklyn, NY 11215 Phone: 718-780-5260 Fax: 718-780-3266
Hugh Gilgoff, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Cadman Plaza West, Brooklyn, NY 11201 Phone: 929-210-6000 Fax: 929-210-6001
Dr. Ninad Desai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 451 Clarkson Ave, Kings County Hospital Center; B 6202, Brooklyn, NY 11203 Phone: 718-245-4105 Fax: 718-245-4107
Dr. Diana E. Weaver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 Clarkson Ave, Suite B4-333, Brooklyn, NY 11203 Phone: 718-270-4714 Fax: 718-270-1985
Jane Fong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 263 7th Ave, Brooklyn, NY 11215 Phone: 718-246-8510

Dr Mariamma Jacob, MD - Medicare Pediatrics in Brooklyn, NY