Jerry Jacob, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Rocky Point, New York. His current practice location is
333 Route 25a, Suite 225, Rocky Point, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 744-3671.
Jerry Jacob is licensed to practice in New York (license number 105943) 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 1538571799.
Physician's Profile
Full Name | Jerry Jacob |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 333 Route 25a, Rocky Point, 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:
- Jerry Jacob attended and graduated from in
NPI Data:
- NPI Number: 1538571799
- Provider Enumeration Date: 05/22/2014
- Last Update Date: 11/27/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jerry Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538571799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 573032 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 105943 (New York) | Primary |
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. Jerry 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 |
Jerry Jacob, CRNA 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 Ph: (631) 744-3671 | Jerry Jacob, CRNA 333 Route 25a, Suite 225, Rocky Point, NY 11778-8556 Ph: (631) 744-3671 |
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