Dr Elizabeth Pulikkottil Jacob, MD - Medicare Pediatrics in New City, NY

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Dr Elizabeth Pulikkottil Jacob, MD is a medicare enrolled "Pediatrics" physician in New City, New York. Her current practice location is 365 S Main St Ste 1, New City, New York. You can reach out to her office (for appointments etc.) via phone at (845) 499-2339.

Dr Elizabeth Pulikkottil Jacob is licensed to practice in New York (license number 250158) 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 1134378136.

Contact Information

Dr Elizabeth Pulikkottil Jacob, MD
365 S Main St Ste 1,
New City, NY 10956-3061
(845) 499-2339
Not Available

Map and Direction




Physician's Profile

Full NameDr Elizabeth Pulikkottil Jacob
GenderFemale
SpecialityPediatrics
Location365 S Main St Ste 1, New City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134378136
  • Provider Enumeration Date: 09/15/2008
  • Last Update Date: 07/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7618152588
  • Enrollment ID: I20110420000207

Medical Identifiers

Medical identifiers for Dr Elizabeth Pulikkottil Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134378136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 250158 (New York)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 Elizabeth Pulikkottil Jacob allows following entities to bill medicare on her behalf.
Entity NameWhite Plains Hospital Medical Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1992255392
PECOS PAC ID: 4981593092
Enrollment ID: O20161219001743
Entity NameEast Post Road Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841767274
PECOS PAC ID: 6406198506
Enrollment ID: O20190419000178

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 Elizabeth Pulikkottil 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 Elizabeth Pulikkottil Jacob, MD
365 S Main St Ste 1,
New City, NY 10956-3061

Ph: (845) 499-2339		Dr Elizabeth Pulikkottil Jacob, MD
365 S Main St Ste 1,
New City, NY 10956-3061

Ph: (845) 499-2339

Reviews and Comments


Pediatrics Doctors in New City, NY

Dr. Evelyn S. Ha, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 236 N Main St, New City, NY 10956
Phone: 845-708-0400    Fax: 845-708-0401
Dr. David M Kanef, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7 Ardsley Dr, New City, NY 10956
Phone: 845-634-2537    Fax: 845-634-2537
Dr. Jules Martin Gewirtz, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 500 New Hempstead Road, Suite D, New City, NY 10956
Phone: 845-362-1630    Fax: 845-362-1641
Dr. Stanley Jacob, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 180 Phillips Hill Rd, Suite 4a, New City, NY 10956
Phone: 845-499-2339    Fax: 845-499-2340
Sharon Ronan, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 337 N Main St, Suite Number 4, New City, NY 10956
Phone: 845-634-7900    
Dr. Satnam Singh Dhami, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 27 Reservoir Dr, New City, NY 10956
Phone: 845-225-6211    

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.

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