Jeena Jacob, MD in Newark, NJ - Medicare Emergency Medicine

Jeena Jacob, MD is a medicare enrolled "Emergency Medicine" physician in Newark, New Jersey. Her current practice location is 150 Bergen Street, Emergency Department, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 972-5128.

Jeena Jacob is licensed to practice in Colorado (license number 49154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285898684.

Contact Information

	Jeena Jacob, MD
	150 Bergen Street, Emergency Department, Newark, NJ 07103-2496
	(973) 972-5128
	(973) 972-6646

Map and Direction

Physician's Profile

Full Name	Jeena Jacob
Gender	Female
Speciality	Emergency Medicine
Location	150 Bergen Street, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285898684
Provider Enumeration Date: 07/15/2008
Last Update Date: 03/28/2018

Medicare PECOS Information:

PECOS PAC ID: 8628257391
Enrollment ID: I20180314000216

Medical Identifiers

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

Identifier	Type	State	Issuer
1285898684	NPI	-	NPPES
64302083	Medicaid	CO
022167	Other	CO	KAISER COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	49154 (Colorado)	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. Jeena Jacob allows following entities to bill medicare on her behalf.

Entity Name	University Physician Associates Of New Jersey Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639189236 PECOS PAC ID: 9830003417 Enrollment ID: O20040301000906

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. Jeena 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 Address	Practice Location Address
Jeena Jacob, MD 150 Bergen Street, Emergency Department, Newark, NJ 07103-2496 Ph: (973) 972-5128	Jeena Jacob, MD 150 Bergen Street, Emergency Department, Newark, NJ 07103-2496 Ph: (973) 972-5128

Reviews and Comments

Emergency Medicine Doctors in Newark, NJ

Dr. Larissa Sophia Dudley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Suite D11, Newark, NJ 07112 Phone: 973-926-6671
Dr. Charles Fleischner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Bergen St, Admc 1110, Newark, NJ 07107 Phone: 973-972-9261
Allen Judah Srulowitz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102 Phone: 973-877-5500
Dr. Christopher Delmaestro, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6671
Albert David Della Fave, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Rutgers University Hospital Emergency Dept., Newark, NJ 07103 Phone: 973-972-5123
Brian Joseph Kenny, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 862-241-5729
Dr. Pidok Thepmankorn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 495 N 13th St, Newark, NJ 07107 Phone: 973-268-1400

Jeena Jacob, MD - Medicare Emergency Medicine in Newark, NJ