Dr Shushan Jacob, MD in Keller, TX - Medicare Hand Surgery

Dr Shushan Jacob, MD is a medicare enrolled "Surgery - Surgery Of The Hand" physician in Keller, Texas. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Hand Surgery. Her current practice location is 1668 Keller Pkwy Ste 300, Keller, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 404-4811.

Dr Shushan Jacob is licensed to practice in Texas (license number N7548) 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 1114119542.

Contact Information

	Dr Shushan Jacob, MD
	1668 Keller Pkwy Ste 300, Keller, TX 76248-3710
	(817) 404-4811
	(833) 974-2284

Map and Direction

Physician's Profile

Full Name	Dr Shushan Jacob
Gender	Female
Speciality	Hand Surgery
Experience	27 Years
Location	1668 Keller Pkwy Ste 300, Keller, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shushan Jacob graduated from medical school in 1997

NPI Data:

NPI Number: 1114119542
Provider Enumeration Date: 08/09/2007
Last Update Date: 09/28/2022

Medicare PECOS Information:

PECOS PAC ID: 3072697770
Enrollment ID: I20111007000319

Medical Identifiers

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

Identifier	Type	State	Issuer
1114119542	NPI	-	NPPES
286943004	Medicaid	TX
286943005	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	N7548 (Texas)	Secondary
2086S0105X	Surgery - Surgery Of The Hand	N7548 (Texas)	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 Shushan Jacob allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

Entity Name	Alliance Hand And Wrist Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780202499 PECOS PAC ID: 3476978321 Enrollment ID: O20200810000804

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 Shushan 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 Shushan Jacob, MD 2140 E Southlake Blvd Ste L-605, Southlake, TX 76092-6516 Ph: (817) 404-4811	Dr Shushan Jacob, MD 1668 Keller Pkwy Ste 300, Keller, TX 76248-3710 Ph: (817) 404-4811

Reviews and Comments

Surgery Doctors in Keller, TX

Dr. Michelle Nicole Moe-aiken, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1109 Jericho Ct, Keller, TX 76262 Phone: 817-368-6236
Dr. Paresh K Rajajoshiwala, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1866 Keller Pkwy, Keller, TX 76248 Phone: 682-224-3748 Fax: 682-841-0039

Dr Shushan Jacob, MD - Medicare Hand Surgery in Keller, TX