Deasia Dominique Jacob, MD in Frederick, MD

Deasia Dominique Jacob, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Frederick, Maryland. Her current practice location is 501 W 7th St, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 215-6310.

Deasia Dominique Jacob is licensed to practice in Maryland (license number D0093827) 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 1619339728.

Contact Information

	Deasia Dominique Jacob, MD
	501 W 7th St, Frederick, MD 21701-4586
	(240) 215-6310
	(240) 439-8910

Map and Direction

Physician's Profile

Full Name	Deasia Dominique Jacob
Gender	Female
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	501 W 7th St, Frederick, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619339728
Provider Enumeration Date: 03/28/2016
Last Update Date: 06/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9931491941
Enrollment ID: I20220425000073

Medical Identifiers

Medical identifiers for Deasia Dominique Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619339728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	D93654 (Maryland)	Secondary
2082S0105X	Plastic Surgery - Surgery Of The Hand	D93654 (Maryland)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	D0093827 (Maryland)	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. Deasia Dominique Jacob allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Frederick Health Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619258225 PECOS PAC ID: 9931341096 Enrollment ID: O20130820000555

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. Deasia Dominique 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 Address	Practice Location Address
Deasia Dominique Jacob, MD 400 W 7th St, Frederick, MD 21701-4506 Ph: () -	Deasia Dominique Jacob, MD 501 W 7th St, Frederick, MD 21701-4586 Ph: (240) 215-6310

Reviews and Comments

Surgery Doctors in Frederick, MD

Jesus Esquivel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7211 Bank Ct Ste 200, Frederick, MD 21703 Phone: 240-575-2526 Fax: 240-439-8910
Dr. Max Eugene Wingerd, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 74 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-694-3200 Fax: 301-662-5288
Dennis S Wang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-575-2526
Dr. Shyam Sundar Jayaraman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 194 Thomas Johnson Dr Ste C, Frederick, MD 21702 Phone: 240-575-2526
Scott E Andochick, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 81 Thomas Johnson Ct, Ste A, Frederick, MD 21702 Phone: 301-620-4200 Fax: 301-620-0879
Dr. Narayan Deshmukh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3840
Derek Michael Deshaies, MD Surgery Medicare: Medicare Enrolled Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 402-156-3102 Fax: 240-566-7754

Deasia Dominique Jacob, MD - Medicare Surgery in Frederick, MD