Dr Mary Jacob, DMD - Medicare Dentist in Revere, MA

Dr Mary Jacob, DMD is a medicare enrolled "Dentist - General Practice" provider in Revere, Massachusetts. Her current practice location is 334 Broadway, Revere, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (178) 162-9624.

Dr Mary Jacob is licensed to practice in Massachusetts (license number DN1857754) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124537667.

Contact Information

Dr Mary Jacob, DMD
334 Broadway,
Revere, MA 02151-5016
(178) 162-9624
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Mary Jacob
GenderFemale
SpecialityDentist - General Practice
Location334 Broadway, Revere, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124537667
  • Provider Enumeration Date: 09/27/2017
  • Last Update Date: 09/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4981969516
  • Enrollment ID: I20180531000221

Medical Identifiers

Medical identifiers for Dr Mary Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124537667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DN1857754 (Massachusetts)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 Mary 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
Dr Mary Jacob, DMD
99 Florence Street, Apt 102,
Malden, MA 02148

Ph: (203) 548-1113
Dr Mary Jacob, DMD
334 Broadway,
Revere, MA 02151-5016

Ph: (178) 162-9624

Reviews and Comments


Dentist in Revere, MA

Dr. Sherry Soleymani, D.M.D
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Park Ave, Revere, MA 02151
Phone: 781-284-1177    Fax: 781-286-1176
Dr. Ryan Matthew Kirschner, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 21 Overlook Ridge Ter Unit 208, Revere, MA 02151
Phone: 773-996-9541    
Dr. Evelyn A Pennacchio, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 16 Pleasant St, Revere, MA 02151
Phone: 781-286-2800    Fax: 781-289-5959
Dr. Elina Fooks, D.M.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 50 Squire Rd, Revere, MA 02151
Phone: 781-289-8080    
Dr. Jennifer Rubel, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 34 Shirley Ave, Revere, MA 02151
Phone: 781-286-3700    Fax: 781-286-8534
Dr. John F Annese, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 106 Broadway, Revere, MA 02151
Phone: 781-284-4058    Fax: 781-284-5578

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.