Dr Susanna Jacob, DDS - Medicare Dentist in Amenia, NY

Dr Susanna Jacob, DDS is a medicare enrolled "Dentist" provider in Amenia, New York. Her current practice location is 3360 Route 343, Amenia, New York. You can reach out to her office (for appointments etc.) via phone at (845) 838-7038.

Dr Susanna Jacob is licensed to practice in New York (license number 058297-1) 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 1851775563.

Contact Information

Dr Susanna Jacob, DDS
3360 Route 343,
Amenia, NY 12501-5619
(845) 838-7038
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Susanna Jacob
GenderFemale
SpecialityDentist
Location3360 Route 343, Amenia, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851775563
  • Provider Enumeration Date: 07/13/2015
  • Last Update Date: 02/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5193022747
  • Enrollment ID: I20160324001544

Medical Identifiers

Medical identifiers for Dr Susanna Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851775563NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 058297-1 (New York)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 Susanna 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 Susanna Jacob, DDS
3360 Route 343,
Amenia, NY 12501-5619

Ph: (845) 838-7038
Dr Susanna Jacob, DDS
3360 Route 343,
Amenia, NY 12501-5619

Ph: (845) 838-7038

Reviews and Comments


Dentist in Amenia, NY

Derik E Stucker, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3360 Route 343, Hudson River Healthcare, Inc., Amenia, NY 12501
Phone: 845-838-7038    Fax: 845-373-7021
Dr. Zhi Wei Cheung, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 66 Broadway, Amenia, NY 12501
Phone: 845-373-9022    
Dr. William J. Hayhurst, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 66 Broadway, Amenia, NY 12501
Phone: 845-373-9022    Fax: 845-373-8225
Dr. Alexandra Cernasov, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 66 Broadway, Amenia, NY 12501
Phone: 845-373-9022    

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.