Kristen Jacobs, MD in South Bend, IN

Kristen Jacobs, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in South Bend, Indiana. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Pathology. She is a member of the group practice South Bend Medical Foundation Inc, South Bend Medical Foundation Inc and her current practice location is 3355 Douglas Rd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 234-4176.

Kristen Jacobs is licensed to practice in Indiana (license number 01037063) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962594929.

Contact Information

	Kristen Jacobs, MD
	3355 Douglas Rd, South Bend, IN 46635-1779
	(574) 234-4176
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristen Jacobs
Gender	Female
Speciality	Pathology
Experience	40 Years
Location	3355 Douglas Rd, South Bend, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristen Jacobs attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1984

NPI Data:

NPI Number: 1962594929
Provider Enumeration Date: 09/28/2006
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7416146022
Enrollment ID: I20110113000384

Medical Identifiers

Medical identifiers for Kristen Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962594929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	4301055183 (Michigan)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	01037063 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital
Borgess Medical Center	Kalamazoo, MI	Hospital
Elkhart General Hospital	Elkhart, IN	Hospital
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Bend Medical Foundation Inc	3971411349	14
South Bend Medical Foundation Inc	3971411349	14

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. Kristen Jacobs allows following entities to bill medicare on her behalf.

Entity Name	South Bend Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649241084 PECOS PAC ID: 3971411349 Enrollment ID: O20050119000195

Entity Name	Legacy Path Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205693728 PECOS PAC ID: 5890237960 Enrollment ID: O20240604002377

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. Kristen Jacobs 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
Kristen Jacobs, MD 3355 Douglas Rd, South Bend, IN 46635-1779 Ph: (574) 234-4176	Kristen Jacobs, MD 3355 Douglas Rd, South Bend, IN 46635-1779 Ph: (574) 234-4176

Reviews and Comments

Pathology Doctors in South Bend, IN

Bobbie Sutton, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561
Luis Galup, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561
James Dyer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561
Joseph Prahlow, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561
Nicole Anest, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561
Fred Busse, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561
Odeta Lapkus, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601 Phone: 574-234-4176 Fax: 574-234-1561

Kristen Jacobs, MD - Medicare Pathology in South Bend, IN