Jeffrey Mica Jacobson, MD is a medicare enrolled "Plastic Surgery" physician in Hawthorne, New York. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is
19 Bradhurst Ave, Suite #2400 N, Hawthorne, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 421-0123.
Jeffrey Mica Jacobson is licensed to practice in New York (license number 264192) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1588812820.
Physician's Profile
Full Name | Jeffrey Mica Jacobson |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 19 Years |
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Location | 19 Bradhurst Ave, Hawthorne, New York |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jeffrey Mica Jacobson attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2005
NPI Data:
- NPI Number: 1588812820
- Provider Enumeration Date: 08/28/2008
- Last Update Date: 05/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214183540
- Enrollment ID: I20120802000045
Medical Identifiers
Medical identifiers for Jeffrey Mica Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588812820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 264192 (New York) | Primary |
2082S0105X | Plastic Surgery - Surgery Of The Hand | 264192 (New York) | Secondary |
Medical Facilities Affiliation
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. Jeffrey Mica Jacobson allows following entities to bill medicare on his behalf.
Entity Name | White Plains Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174994149 PECOS PAC ID: 4981593092 Enrollment ID: O20160506000777 |
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Entity Name | Jeffrey Jacobson Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174135115 PECOS PAC ID: 6608286778 Enrollment ID: O20201030000120 |
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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. Jeffrey Mica Jacobson 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 |
Jeffrey Mica Jacobson, MD 41 Purdy Ave Unit 127, Rye, NY 10580-7510 Ph: (914) 421-0123 | Jeffrey Mica Jacobson, MD 19 Bradhurst Ave, Suite #2400 N, Hawthorne, NY 10532 Ph: (914) 421-0123 |
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