Emad Jacob, MD is a medicare enrolled "Internal Medicine" physician in Kearney, New Jersey. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Emad Jacob, Md Pc and his current practice location is
715 Kearney Ave, Kearney, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 772-5211.
Emad Jacob is licensed to practice in New Jersey (license number 25MA08462300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669622015.
Physician's Profile
| Full Name | Emad Jacob |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 31 Years |
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| Location | 715 Kearney Ave, Kearney, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emad Jacob graduated from medical school in 1993
NPI Data:
- NPI Number: 1669622015
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 03/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 3274696000
- Enrollment ID: I20090106000143
Medical Identifiers
Medical identifiers for Emad Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669622015 | NPI | - | NPPES |
| 0179141 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 25MA08462300 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Emad Jacob, Md Pc | 8820261662 | 3 |
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. Emad Jacob allows following entities to bill medicare on his behalf.
| Entity Name | Emad Jacob, Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699003194
PECOS PAC ID: 8820261662
Enrollment ID: O20111024000241 |
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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. Emad 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 |
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Emad Jacob, MD
715 Kearney Ave,
Kearney, NJ 07032
Ph: (201) 772-5211 | Emad Jacob, MD
715 Kearney Ave,
Kearney, NJ 07032
Ph: (201) 772-5211 |
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