Mr Thomas Jacob, MD in Marietta, GA

Mr Thomas Jacob, MD is a medicare enrolled "Pediatrics" physician in Marietta, Georgia. His current practice location is 760 Kennesaw Ave Nw, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 427-0183.

Mr Thomas Jacob is licensed to practice in Georgia (license number 94597) 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 1215295449.

Contact Information

	Mr Thomas Jacob, MD
	760 Kennesaw Ave Nw, Marietta, GA 30060-6909
	(770) 427-0183
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Thomas Jacob
Gender	Male
Speciality	Pediatrics
Location	760 Kennesaw Ave Nw, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215295449
Provider Enumeration Date: 04/25/2012
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9537472626
Enrollment ID: I20150717002592

Medical Identifiers

Medical identifiers for Mr Thomas Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215295449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	131098 (California)	Secondary
208000000X	Pediatrics	94597 (Georgia)	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. Mr Thomas Jacob allows following entities to bill medicare on his behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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 Thomas 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
Mr Thomas Jacob, MD 760 Kennesaw Ave Nw, Marietta, GA 30060-6909 Ph: (770) 427-0183	Mr Thomas Jacob, MD 760 Kennesaw Ave Nw, Marietta, GA 30060-6909 Ph: (770) 427-0183

Reviews and Comments

Pediatrics Doctors in Marietta, GA

Mrs. Nicole A Smail, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062 Phone: 770-978-4700
Dr. Stephanie Lynette Poole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 Campbell Hill St Nw Ste 103, Marietta, GA 30060 Phone: 770-499-8909 Fax: 770-499-8911
Brenda L Marino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 677 Church St, Hospital Based Only Kennestone Wellstar, Marietta, GA 30060 Phone: 770-779-3603 Fax: 770-793-9925
Carla A Mclean-joseph, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 County Services Pkwy Sw, Marietta, GA 30008 Phone: 770-528-4192 Fax: 770-528-5463
Dr. Bianca Camac Bell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5672
Dr. Lori Spitzer Corley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3707 Largent Way Nw, Marietta, GA 30064 Phone: 678-581-5729 Fax: 678-581-5719
Mr. Richard Rhodes, NP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062 Phone: 770-973-4700

Mr Thomas Jacob, MD - Medicare Pediatrics in Marietta, GA