Dr Jacob Padraig Reilley Luther, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in San Jose, California. His current practice location is
275 Hospital Pkwy Ste 700, San Jose, California. You can reach out to his office (for appointments etc.) via phone at
(408) 972-3807.
Dr Jacob Padraig Reilley Luther is licensed to practice in * (Not Available) (license number ) 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 1285210773.
Physician's Profile
Full Name | Dr Jacob Padraig Reilley Luther |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 275 Hospital Pkwy Ste 700, San Jose, California |
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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: 1285210773
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 03/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133500838
- Enrollment ID: I20220712003836
Medical Identifiers
Medical identifiers for Dr Jacob Padraig Reilley Luther such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285210773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QS0010X | Family Medicine - Sports Medicine | A184683 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Padraig Reilley Luther 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 |
Dr Jacob Padraig Reilley Luther, MD 275 Hospital Pkwy Ste 700, San Jose, CA 95119-1102 Ph: (408) 972-3807 | Dr Jacob Padraig Reilley Luther, MD 275 Hospital Pkwy Ste 700, San Jose, CA 95119-1102 Ph: (408) 972-3807 |
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