Emily Jacobs, MD is a medicare enrolled "Ophthalmology - Cornea And External Diseases Specialist" physician in Stickney, Illinois. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2013 and has 11 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Ronald S Weiss Md Sc and her current practice location is
4401 S Harlem Ave, Stickney, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 788-3400.
Emily Jacobs is licensed to practice in Illinois (license number 036152736) 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 1669715959.
Physician's Profile
| Full Name | Emily Jacobs |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Experience | 11 Years |
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| Location | 4401 S Harlem Ave, Stickney, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Emily Jacobs attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2013
NPI Data:
- NPI Number: 1669715959
- Provider Enumeration Date: 04/04/2013
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456628726
- Enrollment ID: I20201222001172
Medical Identifiers
Medical identifiers for Emily Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669715959 | NPI | - | NPPES |
| 010036152736 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 036152736 (Illinois) | Secondary |
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 287768-1 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 036152736 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ronald S Weiss Md Sc | 4385659069 | 8 |
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. Emily Jacobs allows following entities to bill medicare on her behalf.
| Entity Name | Ronald S Weiss Md Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962415992
PECOS PAC ID: 4385659069
Enrollment ID: O20060216000354 |
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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. Emily 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 Address | Practice Location Address |
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Emily Jacobs, MD
4401 S Harlem Ave,
Stickney, IL 60402-4250
Ph: (708) 788-3400 | Emily Jacobs, MD
4401 S Harlem Ave,
Stickney, IL 60402-4250
Ph: (708) 788-3400 |
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