Rachael Sue Jacoby, MD in Salt Lake City, UT - Medicare Pediatric Medicine

Rachael Sue Jacoby, MD is a medicare enrolled "Ophthalmology" physician in Salt Lake City, Utah. She went to Creighton University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Retina Associates Of Utah Pc, University Of Utah Adult Services and her current practice location is 65 Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-2352.

Rachael Sue Jacoby is licensed to practice in Utah (license number 5764061-1205) 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 1265659213.

Contact Information

	Rachael Sue Jacoby, MD
	65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001
	(801) 581-2352
	Not Available

Map and Direction

Physician's Profile

Full Name	Rachael Sue Jacoby
Gender	Female
Speciality	Pediatric Medicine
Experience	20 Years
Location	65 Mario Capecchi Dr, Salt Lake City, Utah
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:

Rachael Sue Jacoby attended and graduated from Creighton University School Of Medicine in 2004

NPI Data:

NPI Number: 1265659213
Provider Enumeration Date: 04/19/2007
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 1052419199
Enrollment ID: I20070613000275

Medical Identifiers

Medical identifiers for Rachael Sue Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265659213	NPI	-	NPPES
60966	Other	WI	DEAN HEALTH INSURANCE
1265659213	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	5764061-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital
Davis Hospital And Medical Center	Layton, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Retina Associates Of Utah Pc	0244130821	8
University Of Utah Adult Services	0941525273	1435

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. Rachael Sue Jacoby allows following entities to bill medicare on her behalf.

Entity Name	Retina Associates Of Utah Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396867214 PECOS PAC ID: 0244130821 Enrollment ID: O20040110000134

Entity Name	Sharon Richens Md Eye Physician & Surgeon Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891892063 PECOS PAC ID: 4385605799 Enrollment ID: O20041019001453

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Rachael Sue Jacoby 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
Rachael Sue Jacoby, MD Po Box 413075, Salt Lake City, UT 84141-3075 Ph: (801) 213-3900	Rachael Sue Jacoby, MD 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2352

Reviews and Comments

Ophthalmology Doctors in Salt Lake City, UT

Douglas P Marx, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4400 S 700 E Ste 130, Salt Lake City, UT 84107 Phone: 801-264-4420 Fax: 801-266-0604
Dr. Eileen Hwang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 S Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-581-2352
Paul S. Bernstein, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2352
Dr. Francis John Wapner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, #310, Salt Lake City, UT 84124 Phone: 801-263-2020 Fax: 801-263-2229
Dr. James G Howard, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107 Phone: 801-312-2020 Fax: 801-312-2022
Marielle Payne Young, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-581-2352
Madison C. Perchik, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 65 N Mario Capecchi, Salt Lake City, UT 84132 Phone: 801-581-2121

Rachael Sue Jacoby, MD - Medicare Pediatric Medicine in Salt Lake City, UT