Jacob Johnson, MD in San Mateo, CA - Medicare Psychiatry & Neurology

Jacob Johnson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in San Mateo, California. His current practice location is 225 37th Ave, San Mateo, California. You can reach out to his office (for appointments etc.) via phone at (650) 573-2222.

Jacob Johnson is licensed to practice in California (license number A184926) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194309724.

Contact Information

	Jacob Johnson, MD
	225 37th Ave, San Mateo, CA 94403-4324
	(650) 573-2222
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Johnson
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	225 37th Ave, San Mateo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194309724
Provider Enumeration Date: 05/10/2021
Last Update Date: 04/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8820448228
Enrollment ID: I20231227002925

Medical Identifiers

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

Identifier	Type	State	Issuer
1194309724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A184926 (California)	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. Jacob Johnson allows following entities to bill medicare on his behalf.

Entity Name	County Of San Mateo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292

Entity Name	County Of San Mateo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306907928 PECOS PAC ID: 9032023171 Enrollment ID: O20040416001479

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. Jacob Johnson 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
Jacob Johnson, MD 1048 Continentals Way Apt 36, Belmont, CA 94002-3188 Ph: (503) 804-0815	Jacob Johnson, MD 225 37th Ave, San Mateo, CA 94403-4324 Ph: (650) 573-2222

Reviews and Comments

Psychiatry & Neurology Doctors in San Mateo, CA

Jennie Yoo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1950 Alameda De Las Pulgas, San Mateo, CA 94403 Phone: 650-570-3515
Huaiyu Yang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2426
Denise Albert, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 999 Baker Way Ste 420, San Mateo, CA 94404 Phone: 650-571-9652 Fax: 650-571-9657
Darshana Sachin Pai, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 177 Bovet Rd Ste 300, San Mateo, CA 94402 Phone: 650-627-1700
Ms. Ryuko Ishikawa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 138 E Hillsdale Blvd, San Mateo, CA 94403 Phone: 415-640-1455
Elizabeth J Rody, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1950 Alameda De Las Pulgas, San Mateo, CA 94403 Phone: 650-587-8574
Dr. William Reeves Tatomer, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 101 S San Mateo Dr, Suite 300, San Mateo, CA 94401 Phone: 650-342-4442 Fax: 650-342-8816

Jacob Johnson, MD - Medicare Psychiatry & Neurology in San Mateo, CA