Jacob Rosenberg, OD in Bronx, NY - Medicare Optometrist Provider

Jacob Rosenberg, OD is a medicare enrolled "Optometrist" provider in Bronx, New York. His current practice location is 1650 Selwyn Ave Apt 1c, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 590-1800.

Jacob Rosenberg is licensed to practice in New York (license number TUV009828) 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 1033895743.

Contact Information

	Jacob Rosenberg, OD
	1650 Selwyn Ave Apt 1c, Bronx, NY 10457-7628
	(718) 590-1800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Rosenberg
Gender	Male
Speciality	Optometrist
Location	1650 Selwyn Ave Apt 1c, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033895743
Provider Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 4082154141
Enrollment ID: I20240904003666

Medical Identifiers

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

Identifier	Type	State	Issuer
1033895743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV009828 (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. Jacob Rosenberg allows following entities to bill medicare on his behalf.

Provider Name	Montefiore Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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. Jacob Rosenberg 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
Jacob Rosenberg, OD 4004 34th Ave Apt 409, Long Island City, NY 11101-8542 Ph: (518) 727-8125	Jacob Rosenberg, OD 1650 Selwyn Ave Apt 1c, Bronx, NY 10457-7628 Ph: (718) 590-1800

Reviews and Comments

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Jacob Rosenberg, OD - Medicare Optometrist in Bronx, NY