Jacob Kallenberg, in Brockton, MA - Medicare Emergency Medicine

Jacob Kallenberg, is a medicare enrolled "Emergency Medicine" physician in Brockton, Massachusetts. He went to University Of Cincinnati College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Steward Emergency Physicians Inc and his current practice location is 235 N Pearl St, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 427-3075.

Jacob Kallenberg is licensed to practice in Massachusetts (license number 277504) 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 1093125171.

Contact Information

	Jacob Kallenberg,
	235 N Pearl St, Brockton, MA 02301-1794
	(508) 427-3075
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Kallenberg
Gender	Male
Speciality	Emergency Medicine
Experience	10 Years
Location	235 N Pearl St, Brockton, Massachusetts
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:

Jacob Kallenberg attended and graduated from University Of Cincinnati College Of Medicine in 2014

NPI Data:

NPI Number: 1093125171
Provider Enumeration Date: 04/29/2014
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 0042439747
Enrollment ID: I20190315002402

Medical Identifiers

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

Identifier	Type	State	Issuer
1093125171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	277504 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Samaritan Medical Center	Brockton, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Steward Emergency Physicians Inc	0244401404	148

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 Kallenberg allows following entities to bill medicare on his behalf.

Entity Name	Steward Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768

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 Kallenberg 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 Kallenberg, 41 Saint Marys Rd, Milton, MA 02186-2034 Ph: (513) 543-4253	Jacob Kallenberg, 235 N Pearl St, Brockton, MA 02301-1794 Ph: (508) 427-3075

Reviews and Comments

Emergency Medicine Doctors in Brockton, MA

Lori F Vazzana, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7400 Fax: 508-941-6200
Luis E. Ortiz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000
Dr. Stephen J Simon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000
Grant Wei, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Dept. Of Emergency Medicine, Brockton, MA 02302 Phone: 508-941-7400
Daniel Werzanski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000
Laura A Griffin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 680 Centre Street, Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7000

Jacob Kallenberg, - Medicare Emergency Medicine in Brockton, MA