Dr Cris Martin Pacis Jacoba, MD is a medicare enrolled "Ophthalmology" physician in West Springfield, Massachusetts. His current practice location is
180 Daggett Dr, West Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 452-4111.
Dr Cris Martin Pacis Jacoba is licensed to practice in Massachusetts (license number 1014967) 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 1285258236.
Physician's Profile
| Full Name | Dr Cris Martin Pacis Jacoba |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 180 Daggett Dr, West Springfield, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285258236
- Provider Enumeration Date: 06/05/2020
- Last Update Date: 06/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668837980
- Enrollment ID: I20230420001078
Medical Identifiers
Medical identifiers for Dr Cris Martin Pacis Jacoba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285258236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 1014967 (Massachusetts) | 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 Cris Martin Pacis Jacoba allows following entities to bill medicare on his behalf.
| Entity Name | Longwood Eye Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649875964
PECOS PAC ID: 0143632802
Enrollment ID: O20201222001483 |
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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 Cris Martin Pacis Jacoba 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 Cris Martin Pacis Jacoba, MD
8495 Aries Rd,
San Diego, CA 92126-1811
Ph: (858) 322-7073 | Dr Cris Martin Pacis Jacoba, MD
180 Daggett Dr,
West Springfield, MA 01089-4667
Ph: (413) 452-4111 |
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