Jubin Jacob, MD - Medicare Diagnostic Radiology in Potsdam, NY

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Jubin Jacob, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Potsdam, New York. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice St Lawrence Radiology Assoc Pc, Olean General Hospital, Olean Radiology Pc, Olean General Hospital, Maritime Radiology Associates Pc, Montgomery Radiology Associates Pa and his current practice location is 50 Leroy St, Potsdam, New York. You can reach out to his office (for appointments etc.) via phone at (315) 265-4924.

Jubin Jacob is licensed to practice in New York (license number 296356) 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 1710305115.

Contact Information

Jubin Jacob, MD
50 Leroy St,
Potsdam, NY 13676-1786
(315) 265-4924
Not Available

Map and Direction




Physician's Profile

Full NameJubin Jacob
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location50 Leroy St, Potsdam, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jubin Jacob graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1710305115
  • Provider Enumeration Date: 04/02/2014
  • Last Update Date: 07/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7113142860
  • Enrollment ID: I20200212001990

Medical Identifiers

Medical identifiers for Jubin Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710305115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 296356 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Auburn Community HospitalAuburn, NYHospital
Samaritan Medical CenterWatertown, NYHospital
Olean General HospitalOlean, NYHospital
Canton-potsdam HospitalPotsdam, NYHospital
Oneida Healthcare CenterOneida, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lawrence Radiology Assoc Pc226442112227
Olean General Hospital913311178457
Olean Radiology Pc913311886236
Olean General Hospital913311178457
Maritime Radiology Associates Pc29615669898
Montgomery Radiology Associates Pa296130199934

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. Jubin Jacob allows following entities to bill medicare on his behalf.
Entity NameOlean General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649296781
PECOS PAC ID: 9133111784
Enrollment ID: O20040401001531
Entity NameSt Lawrence Radiology Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154380863
PECOS PAC ID: 2264421122
Enrollment ID: O20040507000290
Entity NameOlean Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700829850
PECOS PAC ID: 9133118862
Enrollment ID: O20040508000177
Entity NameGreat Lakes Medical Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861763005
PECOS PAC ID: 2163681859
Enrollment ID: O20120316000017
Entity NameUpstate Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508241878
PECOS PAC ID: 0244538015
Enrollment ID: O20160418000201

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. Jubin Jacob 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
Jubin Jacob, MD
50 Leroy St,
Potsdam, NY 13676-1786

Ph: (315) 265-4924		Jubin Jacob, MD
50 Leroy St,
Potsdam, NY 13676-1786

Ph: (315) 265-4924

Reviews and Comments


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Glauco Michael Maresca, MD
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Dr. David Hauerstock, M.D.
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Phone: 315-782-2620    

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.