Inessa Jacobs, OD - Medicare Optometrist in Woodside, NY

  1. Home
  2. Optometrists
  3. NY
  4. Woodside
Inessa Jacobs, OD is a medicare enrolled "Optometrist" provider in Woodside, New York. Her current practice location is 6108 Woodside Ave, Woodside, New York. You can reach out to her office (for appointments etc.) via phone at (718) 505-1700.

Inessa Jacobs is licensed to practice in New York (license number 008299) 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 1609257872.

Contact Information

Inessa Jacobs, OD
6108 Woodside Ave,
Woodside, NY 11377-3543
(718) 505-1700
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameInessa Jacobs
GenderFemale
SpecialityOptometrist
Location6108 Woodside Ave, Woodside, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609257872
  • Provider Enumeration Date: 06/14/2015
  • Last Update Date: 05/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5092018408
  • Enrollment ID: I20160119001657

Medical Identifiers

Medical identifiers for Inessa Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609257872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 56008299 (New York)Secondary
152W00000XOptometrist 008299 (New York)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. Inessa Jacobs allows following entities to bill medicare on her behalf.
Provider NameEmpire Vision Center Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1750358826
PECOS PAC ID: 4688573876
Enrollment ID: O20040107000405
Provider NameWoodside Optical Corp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1346583655
PECOS PAC ID: 7517101264
Enrollment ID: O20130918000676
Provider NamePure Vision Optical 2 Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1164156261
PECOS PAC ID: 1850773003
Enrollment ID: O20220804000189

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. Inessa Jacobs 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 AddressPractice Location Address
Inessa Jacobs, OD
2350 Waters Edge Dr Apt 5i,
Bayside, NY 11360-2208

Ph: (917) 656-2027		Inessa Jacobs, OD
6108 Woodside Ave,
Woodside, NY 11377-3543

Ph: (718) 505-1700

Reviews and Comments


Optometrist in Woodside, NY

Shilang Chen,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 5311 Broadway, Woodside, NY 11377
Phone: 718-255-1040    
Woodside Vision Inc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 5311 Broadway, Woodside, NY 11377
Phone: 718-255-1040    
Dr. Seul Ki Lim, O.D.
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 6909 Roosevelt Ave, Woodside, NY 11377
Phone: 718-639-1392    
Dr. Jin Bong Ha, O.D
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 3960 54th St Apt 6t, Woodside, NY 11377
Phone: 917-518-7375    
Lilan Nguyen, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4811 Queens Blvd, Woodside, NY 11377
Phone: 718-205-9760    
Pearle Vision
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4811 Queens Blvd, Woodside, NY 11377
Phone: 718-205-9760    Fax: 718-205-9738

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.