Mark I Jacobs, MD in Willimantic, CT - Medicare Internal Medicine

Mark I Jacobs, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Willimantic, Connecticut. His current practice location is 5 Founders St Ste 102, Willimantic, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 456-2898.

Mark I Jacobs is licensed to practice in New Hampshire (license number 9159) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487638409.

Contact Information

	Mark I Jacobs, MD
	5 Founders St Ste 102, Willimantic, CT 06226-2050
	(860) 456-2898
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark I Jacobs
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	5 Founders St Ste 102, Willimantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487638409
Provider Enumeration Date: 12/02/2005
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 0941250765
Enrollment ID: I20110209000392

Medical Identifiers

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

Identifier	Type	State	Issuer
1487638409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	9159 (New Hampshire)	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. Mark I Jacobs allows following entities to bill medicare on his behalf.

Entity Name	Wentworth Douglass Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433

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. Mark I 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
Mark I Jacobs, MD Po Box 1147, Portsmouth, NH 03802-0127 Ph: (603) 498-5166	Mark I Jacobs, MD 5 Founders St Ste 102, Willimantic, CT 06226-2050 Ph: (860) 456-2898

Reviews and Comments

Internal Medicine Doctors in Willimantic, CT

Marlene Schwartz, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 112 Mansfield Ave, Pulmonary Disease Division, Hatch Wing, Willimantic, CT 06226 Phone: 860-456-7279 Fax: 860-450-0269
Dr. Kipp W. Spencer, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471
Dr. Edward Stanley Sawicki, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1703 Main St, Willimantic, CT 06226 Phone: 860-456-1781 Fax: 860-450-1660
Gregory Haman, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5 Founders St Ste 100, Willimantic, CT 06226 Phone: 860-423-9764
Samer T Morcos, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6713 Fax: 860-456-6838
Nagireddy Kamireddy, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 96 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7583
Dr. Stephen J Leach, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 37 Ivan Hill St, Willimantic, CT 06226 Phone: 860-423-9764 Fax: 860-423-9866

Mark I Jacobs, MD - Medicare Internal Medicine in Willimantic, CT