Dr Stacy Lynn Jacobs, MD - Medicare Diagnostic Radiology in New York, NY

Dr Stacy Lynn Jacobs, MD is a medicare enrolled "Radiology - Body Imaging" physician in New York, New York. She went to New York University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Lenox Hill Radiology And Medical Imaging Associates Pc and her current practice location is 233 E 69th St, Apt 8b, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 517-5406.

Dr Stacy Lynn Jacobs is licensed to practice in New York (license number 225209) 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 1801096078.

Contact Information

Dr Stacy Lynn Jacobs, MD
233 E 69th St, Apt 8b,
New York, NY 10021-5414
(212) 517-5406
(212) 535-1564

Map and Direction




Physician's Profile

Full NameDr Stacy Lynn Jacobs
GenderFemale
SpecialityDiagnostic Radiology
Experience23 Years
Location233 E 69th St, New York, New York
Accepts Medicare AssignmentsYes. 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 Stacy Lynn Jacobs attended and graduated from New York University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1801096078
  • Provider Enumeration Date: 07/24/2007
  • Last Update Date: 05/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2860585916
  • Enrollment ID: I20070905000377

Medical Identifiers

Medical identifiers for Dr Stacy Lynn Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801096078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 225209 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lenox Hill Radiology And Medical Imaging Associates Pc2264424712205

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 Stacy Lynn Jacobs allows following entities to bill medicare on her behalf.
Entity NameHudson Valley Radiology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174574115
PECOS PAC ID: 4486567690
Enrollment ID: O20040128000958
Entity NameWest Side Radiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568519833
PECOS PAC ID: 3274424270
Enrollment ID: O20040322000006
Entity NameLenox Hill Radiology & Medical Imaging Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821036807
PECOS PAC ID: 2264424712
Enrollment ID: O20040402000403
Entity NameNew York Private Medical Imaging Practice, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740459593
PECOS PAC ID: 1355414178
Enrollment ID: O20080725000656
Entity NameDelaware Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740706175
PECOS PAC ID: 1557620036
Enrollment ID: O20190207001149

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 Stacy Lynn 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 AddressPractice Location Address
Dr Stacy Lynn Jacobs, MD
233 E 69th St, Apt 8b,
New York, NY 10021-5414

Ph: (212) 517-5406
Dr Stacy Lynn Jacobs, MD
233 E 69th St, Apt 8b,
New York, NY 10021-5414

Ph: (212) 517-5406

Reviews and Comments


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