Mr Jacob K Mathew, MD - Medicare Neurology in Port Jefferson, NY

Mr Jacob K Mathew, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Port Jefferson, New York. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Neurology. He is a member of the group practice City Medical Of Upper East Side Pllc and his current practice location is 100 Oakland Ave, Suite 4, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 476-4780.

Mr Jacob K Mathew is licensed to practice in New York (license number 196027) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407857634.

Contact Information

Mr Jacob K Mathew, MD
100 Oakland Ave, Suite 4,
Port Jefferson, NY 11777-2172
(631) 476-4780
(631) 476-4781

Map and Direction




Physician's Profile

Full NameMr Jacob K Mathew
GenderMale
SpecialityNeurology
Experience41 Years
Location100 Oakland Ave, Port Jefferson, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jacob K Mathew graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1407857634
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 10/15/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1557558079
  • Enrollment ID: I20101209001199

Medical Identifiers

Medical identifiers for Mr Jacob K Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407857634NPI-NPPES
01494779MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 196027 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles HospitalPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City Medical Of Upper East Side Pllc0648465039737

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. Mr Jacob K Mathew allows following entities to bill medicare on his behalf.
Entity NameLong Island Community Hospital At Nyu Langone Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417232760
PECOS PAC ID: 9739090051
Enrollment ID: O20031218000695
Entity NamePremier Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760436190
PECOS PAC ID: 1254233158
Enrollment ID: O20040122000144
Entity NameCity Medical Of Upper East Side Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052
Entity NameInternal Medicine Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619188489
PECOS PAC ID: 1951291467
Enrollment ID: O20110711000004

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. Mr Jacob K Mathew 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 AddressPractice Location Address
Mr Jacob K Mathew, MD
100 Oakland Ave, Suite 4,
Port Jefferson, NY 11777-2172

Ph: (631) 476-4780
Mr Jacob K Mathew, MD
100 Oakland Ave, Suite 4,
Port Jefferson, NY 11777-2172

Ph: (631) 476-4780

Reviews and Comments


Psychiatry & Neurology Doctors in Port Jefferson, NY

Dinesh Shukla, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 625 Belle Terre Rd, Suite 205, Port Jefferson, NY 11777
Phone: 631-331-0776    Fax: 631-473-4760
Ryan Berry, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-686-2518    
Jeena Elizabeth John,
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Practice Location: 75 N Country Rd, Port Jefferson, NY 11777
Phone: 631-686-2517    
Sameh Wahba, M.D
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Medicare: Not Enrolled in Medicare
Practice Location: 60 N Country Rd, Port Jefferson, NY 11777
Phone: 631-476-0776    
Dr. Christopher M Sinclair, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 254 Windward Dr, Port Jefferson, NY 11777
Phone: 631-560-7290    
Paul Fritz, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777
Phone: 631-928-3122    Fax: 631-928-3192
Juliet A Nicolescu-nichols, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 125 Oakland Ave, Suite 303, Port Jefferson, NY 11777
Phone: 631-928-3122    Fax: 631-928-3192

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.