Mr Jensen Koshy Jacob, PA-C in New York, NY - Medicare Physician Assistant

Mr Jensen Koshy Jacob, PA-C is a medicare enrolled "Physician Assistant" in New York, New York. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice White Plains Physician Services and his current practice location is 1 Gustave L Levy Pl, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 256-2904.

Mr Jensen Koshy Jacob is licensed to practice in New York (license number 020643) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043759228.

Contact Information

	Mr Jensen Koshy Jacob, PA-C
	1 Gustave L Levy Pl, New York, NY 10029-6504
	(212) 256-2904
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jensen Koshy Jacob
Gender	Male
Speciality	Physician Assistant
Experience	8 Years
Location	1 Gustave L Levy Pl, New York, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jensen Koshy Jacob graduated from nursing school in 2016

NPI Data:

NPI Number: 1043759228
Provider Enumeration Date: 02/21/2017
Last Update Date: 02/21/2017

Medicare PECOS Information:

PECOS PAC ID: 3971900986
Enrollment ID: I20210917001259

Medical Identifiers

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

Identifier	Type	State	Issuer
1043759228	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	020643 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
White Plains Hospital Center	White plains, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
White Plains Physician Services	3476894445	311

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 Jensen Koshy 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 Jensen Koshy Jacob, PA-C 18 Regina Pl, Yonkers, NY 10703-1125 Ph: (914) 400-7374	Mr Jensen Koshy Jacob, PA-C 1 Gustave L Levy Pl, New York, NY 10029-6504 Ph: (212) 256-2904

Reviews and Comments

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Mr Jensen Koshy Jacob, PA-C - Medicare Physician Assistant in New York, NY