Sodaran P Jacob, MD in Farmington, NM

Sodaran P Jacob, MD is a medicare enrolled "Hospitalist" physician in Farmington, New Mexico. His current practice location is 801 W Maple St, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 609-6463.

Sodaran P Jacob is licensed to practice in New Mexico (license number MD2006-0732) 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 1376568717.

Contact Information

	Sodaran P Jacob, MD
	801 W Maple St, Farmington, NM 87401-5630
	(505) 609-6463
	(505) 609-6474

Map and Direction

Physician's Profile

Full Name	Sodaran P Jacob
Gender	Male
Speciality	Hospitalist
Location	801 W Maple St, Farmington, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376568717
Provider Enumeration Date: 07/13/2006
Last Update Date: 07/31/2017

Medicare PECOS Information:

PECOS PAC ID: 5799754891
Enrollment ID: I20070421000035

Medical Identifiers

Medical identifiers for Sodaran P Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376568717	NPI	-	NPPES
93733577	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD2006-0732 (New Mexico)	Secondary
208M00000X	Hospitalist	MD2006-0732 (New Mexico)	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. Sodaran P Jacob allows following entities to bill medicare on his behalf.

Entity Name	Rehoboth Mckinley Christian Health Care Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720084999 PECOS PAC ID: 1759293855 Enrollment ID: O20031105000466

Entity Name	San Juan Regional Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865

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. Sodaran P 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
Sodaran P Jacob, MD Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258	Sodaran P Jacob, MD 801 W Maple St, Farmington, NM 87401-5630 Ph: (505) 609-6463

Reviews and Comments

Hospitalist Doctors in Farmington, NM

Shay Beck, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Mikelle B Rogers, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000
Amy Plagge, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-6463

Sodaran P Jacob, MD - Medicare Hospitalist in Farmington, NM