Elizabeth Jacob, in Latham, NY

Elizabeth Jacob, is a medicare enrolled "Surgery" physician in Latham, New York. Her current practice location is 6 Wellness Way Ste G03, Latham, New York. You can reach out to her office (for appointments etc.) via phone at (518) 785-5884.

Elizabeth Jacob is licensed to practice in New York (license number 298555) 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 1619408234.

Contact Information

	Elizabeth Jacob,
	6 Wellness Way Ste G03, Latham, NY 12110-2135
	(518) 785-5884
	Not Available

Map and Direction

Physician's Profile

Full Name	Elizabeth Jacob
Gender	Female
Speciality	Surgery
Location	6 Wellness Way Ste G03, Latham, 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: 1619408234
Provider Enumeration Date: 03/24/2017
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1850662040
Enrollment ID: I20230823001960

Medical Identifiers

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

Identifier	Type	State	Issuer
1619408234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	25MA11829800 (New Jersey)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208600000X	Surgery	298555 (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. Elizabeth Jacob allows following entities to bill medicare on her behalf.

Entity Name	Valley Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824

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. Elizabeth 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
Elizabeth Jacob, 6 Wellness Way Ste 201, Latham, NY 12110-2156 Ph: (518) 782-3700	Elizabeth Jacob, 6 Wellness Way Ste G03, Latham, NY 12110-2135 Ph: (518) 785-5884

Reviews and Comments

Surgery Doctors in Latham, NY

Philip S K Paty, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste G02, Latham, NY 12110 Phone: 518-782-3900 Fax: 518-782-3844
Eugene Hoffert, Surgery Medicare: Accepting Medicare Assignments Practice Location: 713 Troy Schenectady Rd Ste 310, Latham General Surgery, Latham, NY 12110 Phone: 518-783-3110 Fax: 518-783-6890
Thomas John Lovely, MD Surgery Medicare: Medicare Enrolled Practice Location: 1182 Troy Schenectady Rd Suite 100, St. Peter's Hospital Spine And Neurosurgery, Latham, NY 12110 Phone: 518-713-5400 Fax: 518-713-5401
Manish Mehta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste G02, Latham, NY 12110 Phone: 518-782-3900 Fax: 518-782-3844
Dr. Zachary William Kostun, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste G02, Latham, NY 12110 Phone: 518-782-3900 Fax: 518-782-3844
Dr. Peter E. Fisk, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste G03, Latham, NY 12110 Phone: 518-785-5884 Fax: 518-783-6890
Sharita Nagaraj, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 713 Troy Schenectady Rd, Suite 310, Latham, NY 12110 Phone: 518-783-3110 Fax: 518-783-7890

Elizabeth Jacob, - Medicare Surgery in Latham, NY