Jacob Kallenberg, - Medicare Emergency Medicine in Brockton, MA

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Jacob Kallenberg, is a medicare enrolled "Emergency Medicine" physician in Brockton, Massachusetts. He went to University Of Cincinnati College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Steward Emergency Physicians Inc, South Shore Health Express Inc, Coastal Medical Associates and his current practice location is 235 N Pearl St, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 427-3075.

Jacob Kallenberg is licensed to practice in Massachusetts (license number 277504) 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 1093125171.

Contact Information

Jacob Kallenberg,
235 N Pearl St,
Brockton, MA 02301-1794
(508) 427-3075
Not Available

Map and Direction




Physician's Profile

Full NameJacob Kallenberg
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location235 N Pearl St, Brockton, Massachusetts
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:
  • Jacob Kallenberg attended and graduated from University Of Cincinnati College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1093125171
  • Provider Enumeration Date: 04/29/2014
  • Last Update Date: 02/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042439747
  • Enrollment ID: I20190315002402

Medical Identifiers

Medical identifiers for Jacob Kallenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093125171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 277504 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan Medical CenterBrockton, MAHospital
South Shore HospitalSouth weymouth, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Steward Emergency Physicians Inc0244401404144
South Shore Health Express Inc640610883632
Coastal Medical Associates7113029257424

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 Kallenberg allows following entities to bill medicare on his behalf.
Entity NameCoastal Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932175684
PECOS PAC ID: 7113029257
Enrollment ID: O20070221000057
Entity NameSteward Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780971275
PECOS PAC ID: 0244401404
Enrollment ID: O20110919000768
Entity NameSouth Shore Health Express Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477044212
PECOS PAC ID: 6406108836
Enrollment ID: O20181115000152

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 Kallenberg 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
Jacob Kallenberg,
41 Saint Marys Rd,
Milton, MA 02186-2034

Ph: (513) 543-4253		Jacob Kallenberg,
235 N Pearl St,
Brockton, MA 02301-1794

Ph: (508) 427-3075

Reviews and Comments


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Luis E. Ortiz, M.D.
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Dr. Stephen J Simon, DO
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Grant Wei, M.D.
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Daniel Werzanski, MD
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Laura A Griffin, M.D.
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Phone: 508-941-7000    

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.