Vinitha Anne Jacob, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ann Arbor, Michigan. Her current practice location is
1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 936-4000.
Vinitha Anne Jacob is licensed to practice in * (Not Available) (license number ) 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 1851753800.
Physician's Profile
Full Name | Vinitha Anne Jacob |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1500 E Medical Center Dr, Ann Arbor, 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: 1851753800
- Provider Enumeration Date: 03/28/2016
- Last Update Date: 05/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 6800180647
- Enrollment ID: I20200706001443
Medical Identifiers
Medical identifiers for Vinitha Anne Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851753800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4301501574 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Vinitha Anne Jacob allows following entities to bill medicare on her behalf.
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
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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. Vinitha Anne 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 |
Vinitha Anne Jacob, 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Vinitha Anne Jacob, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
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