Dr Tina Jacob, MD in Nottingham, MD - Medicare Family Medicine

Dr Tina Jacob, MD is a medicare enrolled "Family Medicine" physician in Nottingham, Maryland. Her current practice location is 4924 Campbell Blvd, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 955-5000.

Dr Tina Jacob is licensed to practice in Maryland (license number D0098428) 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 1851914675.

Contact Information

	Dr Tina Jacob, MD
	4924 Campbell Blvd, Nottingham, MD 21236-5908
	(410) 955-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tina Jacob
Gender	Female
Speciality	Family Medicine
Location	4924 Campbell Blvd, Nottingham, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851914675
Provider Enumeration Date: 05/27/2020
Last Update Date: 12/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0840614814
Enrollment ID: I20231005000214

Medical Identifiers

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

Identifier	Type	State	Issuer
1851914675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D0098428 (Maryland)	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 Tina Jacob allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065

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 Tina 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 Tina Jacob, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (806) 743-6130	Dr Tina Jacob, MD 4924 Campbell Blvd, Nottingham, MD 21236-5908 Ph: (410) 955-5000

Reviews and Comments

Family Medicine Doctors in Nottingham, MD

Dr. Joy Angela Baldwin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7939 Honeygo Blvd, Building 3, Suite 127, Nottingham, MD 21236 Phone: 410-344-2558
Dr. Oluwakemi Ajide, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600
Dr. Charis James, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4929 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600

Dr Tina Jacob, MD - Medicare Family Medicine in Nottingham, MD