Dr Jacob John Fakoory, MD - Medicare Emergency Medicine in Glendale, CA

Dr Jacob John Fakoory, MD is a medicare enrolled "Emergency Medicine" physician in Glendale, California. His current practice location is 1420 S Central Ave, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 502-2344.

Dr Jacob John Fakoory is licensed to practice in California (license number C39375) 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 1134160609.

Contact Information

Dr Jacob John Fakoory, MD
1420 S Central Ave,
Glendale, CA 91204-2508
(818) 502-2344
(818) 502-4501

Map and Direction




Physician's Profile

Full NameDr Jacob John Fakoory
GenderMale
SpecialityEmergency Medicine
Location1420 S Central Ave, Glendale, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134160609
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 02/28/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8527014315
  • Enrollment ID: I20050324000576

Medical Identifiers

Medical identifiers for Dr Jacob John Fakoory such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134160609NPI-NPPES
00C393750MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine C39375 (California)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. Dr Jacob John Fakoory allows following entities to bill medicare on his behalf.
Entity NameMichael S. Agron, M.d., Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699716100
PECOS PAC ID: 2668360736
Enrollment ID: O20040707000788

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. Dr Jacob John Fakoory 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
Dr Jacob John Fakoory, MD
1227 Arno Dr,
Sierra Madre, CA 91024-1568

Ph: (626) 355-8121
Dr Jacob John Fakoory, MD
1420 S Central Ave,
Glendale, CA 91204-2508

Ph: (818) 502-2344

Reviews and Comments


Emergency Medicine Doctors in Glendale, CA

Cheryl Lee Jang, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206
Phone: 818-863-4000    
Dr. Josiah Friedlander, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1420 S Central Ave, Glendale, CA 91204
Phone: 818-502-2344    Fax: 818-502-4501
Dr. Gil Z Shlamovitz, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208
Phone: 818-790-7100    
Peter Utas, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206
Phone: 818-409-8000    
Peter E Shin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1509 Wilson Ter, Emergency Dept. - Glendale Adventist Medical Center, Glendale, CA 91206
Phone: 818-409-8000    
Dr. Ryan Raam, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208
Phone: 818-790-7100    

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.