Glen C Jacob, MD - Medicare General Surgery in Wilkes-barre, PA

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Glen C Jacob, MD is a medicare enrolled "Surgery - Surgery Of The Hand" physician in Wilkes-barre, Pennsylvania. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice St Luke's Physician Group Inc and his current practice location is 1175 East Mountain Blvd., Wilkes-barre, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 808-1093.

Glen C Jacob is licensed to practice in Pennsylvania (license number MD452555V) 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 1295990976.

Contact Information

Glen C Jacob, MD
1175 East Mountain Blvd.,
Wilkes-barre, PA 18702-3885
(570) 808-1093
(570) 808-7878

Map and Direction




Physician's Profile

Full NameGlen C Jacob
GenderMale
SpecialityGeneral Surgery
Experience22 Years
Location1175 East Mountain Blvd., Wilkes-barre, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Glen C Jacob graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1295990976
  • Provider Enumeration Date: 07/22/2008
  • Last Update Date: 08/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486770989
  • Enrollment ID: I20140915001222

Medical Identifiers

Medical identifiers for Glen C Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295990976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery N0127 (Texas)Secondary
208600000XSurgery MD452555 (Pennsylvania)Secondary
2086S0105XSurgery - Surgery Of The Hand 25MA08617700 (New Jersey)Secondary
2086S0105XSurgery - Surgery Of The Hand 24108 (West Virginia)Secondary
2086S0105XSurgery - Surgery Of The Hand MD452555V (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Hospital BethlehemBethlehem, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Luke's Physician Group Inc67097983331727

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. Glen C Jacob allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameGslpg, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763

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. Glen C 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 AddressPractice Location Address
Glen C Jacob, MD
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144		Glen C Jacob, MD
1175 East Mountain Blvd.,
Wilkes-barre, PA 18702-3885

Ph: (570) 808-1093

Reviews and Comments


Surgery Doctors in Wilkes-barre, PA

Dr. Bogdan Protyniak, MD, FACS, FASCRS
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1000 East Mountain Blvd, Mc: 37-62, Wilkes-barre, PA 18711
Phone: 570-808-2340    Fax: 570-808-7904
Dr. Thomas Andrew Erchinger, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1000 East Mountain Blvd., Wilkes-barre, PA 18711
Phone: 570-808-2340    Fax: 570-808-7904
Dr. Boyoung Song, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1000 East Mountain Blvd., Wilkes-barre, PA 18711
Phone: 570-808-6000    Fax: 570-808-6061
Jacqueline Clare Oxenberg, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1000 East Mountain Blvd., Wilkes-barre, PA 18711
Phone: 570-808-2340    Fax: 570-808-7904

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.