Jason Chacko Jacob, MD - Medicare Internal Medicine in Hartford, CT

Jason Chacko Jacob, MD is a medicare enrolled "Internal Medicine" physician in Hartford, Connecticut. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hartford Hospital and his current practice location is 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 545-2085.

Jason Chacko Jacob is licensed to practice in Connecticut (license number 051151) 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 1457582249.

Contact Information

Jason Chacko Jacob, MD
80 Seymour Street, Hartford Hospital Medicine Dept,
Hartford, CT 06102-5037
(860) 545-2085
Not Available

Map and Direction




Physician's Profile

Full NameJason Chacko Jacob
GenderMale
SpecialityInternal Medicine
Experience15 Years
Location80 Seymour Street, Hartford, Connecticut
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:
  • Jason Chacko Jacob graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1457582249
  • Provider Enumeration Date: 07/28/2009
  • Last Update Date: 11/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1759537426
  • Enrollment ID: I20120813000114

Medical Identifiers

Medical identifiers for Jason Chacko Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457582249NPI-NPPES
001511518MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 051151 (Connecticut)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hartford HospitalHartford, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Hospital2567366016841

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. Jason Chacko Jacob allows following entities to bill medicare on his behalf.
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407806391
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000700
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752

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. Jason Chacko 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
Jason Chacko Jacob, MD
Po Box 415933, Hartford Hospital Professional Services,
Boston, MA 02241-5933

Ph: (860) 545-7602
Jason Chacko Jacob, MD
80 Seymour Street, Hartford Hospital Medicine Dept,
Hartford, CT 06102-5037

Ph: (860) 545-2085

Reviews and Comments


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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.