Shirley Anne Jakubec, MD is a medicare enrolled "Internal Medicine" physician in Elkton, Michigan. Her current practice location is
6 N Main St, Elkton, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 375-2273.
Shirley Anne Jakubec is licensed to practice in Michigan (license number 4301084596) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750338000.
Physician's Profile
Full Name | Shirley Anne Jakubec |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 6 N Main St, Elkton, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750338000
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 06/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769444348
- Enrollment ID: I20041027000737
Medical Identifiers
Medical identifiers for Shirley Anne Jakubec such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750338000 | NPI | - | NPPES |
147287 | Other | MI | SHN HOSPITAL GLHP |
4685107 | Medicaid | MI | |
4671451 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301084596 (Michigan) | 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. Shirley Anne Jakubec allows following entities to bill medicare on her behalf.
Entity Name | Huron Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245257880 PECOS PAC ID: 6800709221 Enrollment ID: O20040302000921 |
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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. Shirley Anne Jakubec 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 |
Shirley Anne Jakubec, MD 168 N Caseville Rd, Pigeon, MI 48755-9704 Ph: (989) 453-5210 | Shirley Anne Jakubec, MD 6 N Main St, Elkton, MI 48731-5137 Ph: (989) 375-2273 |
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