Jacob Tatum, in Baltimore, MD

Jacob Tatum, is a medicare enrolled "Surgery" physician in Baltimore, Maryland. His current practice location is 720 Rutland Ave # Ross759, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 287-6944.

Jacob Tatum is licensed to practice in Maryland (license number D0094831) 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 1528590916.

Contact Information

	Jacob Tatum,
	720 Rutland Ave # Ross759, Baltimore, MD 21205-2109
	(443) 287-6944
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Tatum
Gender	Male
Speciality	Surgery
Location	720 Rutland Ave # Ross759, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528590916
Provider Enumeration Date: 04/03/2017
Last Update Date: 06/23/2022

Medicare PECOS Information:

PECOS PAC ID: 8527449081
Enrollment ID: I20231205002613

Medical Identifiers

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

Identifier	Type	State	Issuer
1528590916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	D0094831 (Maryland)	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 Tatum allows following entities to bill medicare on his behalf.

Entity Name	Avenel Iselin Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487674867 PECOS PAC ID: 5597751941 Enrollment ID: O20040422000098

Entity Name	Barnabas Health Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951

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 Tatum 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 Tatum, 720 Rutland Ave # Ross759, Baltimore, MD 21205-2109 Ph: () -	Jacob Tatum, 720 Rutland Ave # Ross759, Baltimore, MD 21205-2109 Ph: (443) 287-6944

Reviews and Comments

Surgery Doctors in Baltimore, MD

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Georgios Antonios Margonis, MD, PHD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans Street - Tower 110, Baltimore, MD 21287 Phone: 443-440-1103
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Kenzo Hirose, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6190
Josue Alvarez Casas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 S Greene St Ste 200, Baltimore, MD 21201 Phone: 410-328-5408

Jacob Tatum, - Medicare Surgery in Baltimore, MD