John Jacob, - Medicare Counselor in Manchester, CT

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John Jacob, is a medicare enrolled "Social Worker - Clinical" provider in Manchester, Connecticut. His current practice location is 444 Center St, Manchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 646-3888.

John Jacob 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 1245616549.

Contact Information

John Jacob,
444 Center St,
Manchester, CT 06040-3926
(860) 646-3888
(860) 645-4132

Map and Direction


Healthcare Provider's Profile

Full NameJohn Jacob
GenderMale
SpecialitySocial Worker - Clinical
Location444 Center St, Manchester, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245616549
  • Provider Enumeration Date: 08/10/2015
  • Last Update Date: 01/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9335481118
  • Enrollment ID: I20190426000261

Medical Identifiers

Medical identifiers for John Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245616549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))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. John Jacob allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Resources, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215979810
PECOS PAC ID: 5597652149
Enrollment ID: O20040301000155
Entity NameMellahealth Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477158046
PECOS PAC ID: 9032528658
Enrollment ID: O20210512001623

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. John 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
John Jacob,
995 Day Hill Rd,
Windsor, CT 06095-1722

Ph: (860) 731-5522		John Jacob,
444 Center St,
Manchester, CT 06040-3926

Ph: (860) 646-3888

Reviews and Comments


Social Worker in Manchester, CT


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.