Dr Mariann C Jacob, MD in New York, NY

Dr Mariann C Jacob, MD is a medicare enrolled "Pediatrics" physician in New York, New York. Her current practice location is 430 East 34th Street, New York, New York. You can reach out to her office (for appointments etc.) via phone at (866) 733-7698.

Dr Mariann C Jacob is licensed to practice in New York (license number 316056) 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 1811301799.

Contact Information

	Dr Mariann C Jacob, MD
	430 East 34th Street, New York, NY 10016
	(866) 733-7698
	(212) 562-6019

Map and Direction

Physician's Profile

Full Name	Dr Mariann C Jacob
Gender	Female
Speciality	Pediatrics
Location	430 East 34th Street, New York, 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: 1811301799
Provider Enumeration Date: 06/18/2014
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8022230374
Enrollment ID: I20220629003189

Medical Identifiers

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

Identifier	Type	State	Issuer
1811301799	NPI	-	NPPES
07137497	Medicaid	NY
1811301799	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	62609-20 (Wisconsin)	Secondary
208000000X	Pediatrics	036.35602 (Illinois)	Secondary
208M00000X	Hospitalist	62609 (Wisconsin)	Secondary
208000000X	Pediatrics	316056 (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 Mariann C Jacob allows following entities to bill medicare on her behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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 Mariann C 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 Mariann C Jacob, MD 432 Argyle Rd, Mineola, NY 11501-1014 Ph: (847) 208-3277	Dr Mariann C Jacob, MD 430 East 34th Street, New York, NY 10016 Ph: (866) 733-7698

Reviews and Comments

Pediatrics Doctors in New York, NY

Dr. Robert Michael Lembo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave, New York, NY 10016 Phone: 212-263-6425
Dr. Sean Michael Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 1st Ave, Suite 7a, New York, NY 10016 Phone: 212-263-7477
Dr. Diana Trevas Fleisher, Pediatrics Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293 Fax: 212-263-3522
Dr. Rajdeep K Saini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Warren St, New York, NY 10007 Phone: 212-226-7666 Fax: 212-202-7988
Dr. Nooralam Ahmad Rai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3959 Broadway # Chc701, New York, NY 10032 Phone: 212-305-5122 Fax: 212-305-6103
Deborah Valentine Shamsian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 21 W 86th St, New York, NY 10024 Phone: 212-304-5800
Kara Alex-ann Beliard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1468 Madison Ave, New York, NY 10029 Phone: 122-241-6936

Dr Mariann C Jacob, MD - Medicare Pediatrics in New York, NY