Dr Mark I Jacobson, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Tarrytown, New York. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Englewood Pathologists, Pa and his current practice location is
560 White Plains Rd Fl 6, Tarrytown, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 345-1100.
Dr Mark I Jacobson is licensed to practice in New York (license number 173191-1) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1831178318.
Physician's Profile
| Full Name | Dr Mark I Jacobson |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 43 Years |
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| Location | 560 White Plains Rd Fl 6, Tarrytown, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark I Jacobson graduated from medical school in 1981
NPI Data:
- NPI Number: 1831178318
- Provider Enumeration Date: 01/12/2006
- Last Update Date: 10/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284680919
- Enrollment ID: I20180507000124
Medical Identifiers
Medical identifiers for Dr Mark I Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831178318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0101X | Pathology - Anatomic Pathology | 173191-1 (New York) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 173191-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Englewood Pathologists, Pa | 3779671672 | 11 |
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 Mark I Jacobson allows following entities to bill medicare on his behalf.
| Entity Name | Englewood Pathologists, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053366054
PECOS PAC ID: 3779671672
Enrollment ID: O20071109000462 |
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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 Mark I Jacobson 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 Mark I Jacobson, MD
560 White Plains Rd Fl 6,
Tarrytown, NY 10591-5113
Ph: (914) 345-1100 | Dr Mark I Jacobson, MD
560 White Plains Rd Fl 6,
Tarrytown, NY 10591-5113
Ph: (914) 345-1100 |
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