Dr Paul Jacobs, PHD in Fort Lee, NJ - Medicare Psychologist Provider

Dr Paul Jacobs, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fort Lee, New Jersey. His current practice location is 1 Horizon Rd, Apt. 1423, Fort Lee, New Jersey. You can reach out to his office (for appointments etc.) via phone at (954) 563-9954.

Dr Paul Jacobs is licensed to practice in New York (license number 018887) 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 1619136173.

Contact Information

	Dr Paul Jacobs, PHD
	1 Horizon Rd, Apt. 1423, Fort Lee, NJ 07024-6502
	(954) 563-9954
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Paul Jacobs
Gender	Male
Speciality	Psychologist - Clinical
Location	1 Horizon Rd, Fort Lee, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619136173
Provider Enumeration Date: 06/09/2008
Last Update Date: 05/31/2012

Medicare PECOS Information:

PECOS PAC ID: 2163687864
Enrollment ID: I20120703000050

Medical Identifiers

Medical identifiers for Dr Paul Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619136173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY5128 (Florida)	Secondary
103TC0700X	Psychologist - Clinical	35SI00481500 (New Jersey)	Secondary
103TC0700X	Psychologist - Clinical	018887 (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. Dr Paul Jacobs allows following entities to bill medicare on his behalf.

Entity Name	Senior Care Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563

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 Paul Jacobs 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 Paul Jacobs, PHD 1 Horizon Rd, Apt. 1423, Fort Lee, NJ 07024-6502 Ph: (954) 563-9954	Dr Paul Jacobs, PHD 1 Horizon Rd, Apt. 1423, Fort Lee, NJ 07024-6502 Ph: (954) 563-9954

Reviews and Comments

Psychologist in Fort Lee, NJ

Andiea Hedayat-harris, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2215 N Central Rd, Apt. 4g, Fort Lee, NJ 07024 Phone: 201-585-8720
Reina Sandouk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3000 Lemoine Ave, Fort Lee, NJ 07024 Phone: 201-585-4652
Dr. Barbara Fran Haber, PHD MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21 Warwick Avenue, Fort Lee, NJ 07024 Phone: 201-224-9568 Fax: 201-224-5432
Irina Volynsky, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 440 West St, Suite 23, Fort Lee, NJ 07024 Phone: 917-657-8925
Lesia M Ruglass, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Hudson St, Fort Lee, NJ 07024 Phone: 917-407-3441
Samuel Eli Menahem, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2083 Center Ave, Suite G, Fort Lee, NJ 07024 Phone: 201-944-1164 Fax: 201-944-1623
Dr. Emile Tobias Berk, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 440 West St # 323, Fort Lee, NJ 07024 Phone: 347-879-0202

Dr Paul Jacobs, PHD - Medicare Psychologist in Fort Lee, NJ