Dr Jacob Carmen Yannetta Iii, DO in Beavercreek, OH

Dr Jacob Carmen Yannetta Iii, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Beavercreek, Ohio. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2002 and has 23 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 2141 N Fairfield Rd, Ste. B, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 458-0025.

Dr Jacob Carmen Yannetta Iii is licensed to practice in Ohio (license number 34008653) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992873046.

Contact Information

	Dr Jacob Carmen Yannetta Iii, DO
	2141 N Fairfield Rd, Ste. B, Beavercreek, OH 45431-2578
	(937) 458-0025
	(937) 458-0212

Map and Direction

Physician's Profile

Full Name	Dr Jacob Carmen Yannetta Iii
Gender	Male
Speciality	Vascular Surgery
Experience	23 Years
Location	2141 N Fairfield Rd, Beavercreek, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacob Carmen Yannetta Iii attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2002

NPI Data:

NPI Number: 1992873046
Provider Enumeration Date: 11/30/2006
Last Update Date: 11/12/2020

Medicare PECOS Information:

PECOS PAC ID: 4082709340
Enrollment ID: I20071001000773

Medical Identifiers

Medical identifiers for Dr Jacob Carmen Yannetta Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992873046	NPI	-	NPPES
2774869	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	34.008653 (Ohio)	Secondary
2086S0129X	Surgery - Vascular Surgery	34008653 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview And Southview Hospitals	Dayton, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital
Troy Hospital	Troy, OH	Hospital
Kettering Medical Center	Kettering, OH	Hospital
Kettering Medical Center - Sycamore	Miamisburg, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	602

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 Jacob Carmen Yannetta Iii allows following entities to bill medicare on his behalf.

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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 Jacob Carmen Yannetta Iii 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 Jacob Carmen Yannetta Iii, DO 2141 N Fairfield Rd, Ste. B, Beavercreek, OH 45431-2578 Ph: (937) 458-0025	Dr Jacob Carmen Yannetta Iii, DO 2141 N Fairfield Rd, Ste. B, Beavercreek, OH 45431-2578 Ph: (937) 458-0025

Reviews and Comments

Surgery Doctors in Beavercreek, OH

Dr. Alberto Jose Lopez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4447 Somerset Path, Beavercreek, OH 45440 Phone: 216-965-7384
Sunishka M Wimalawansa, M.D., M.B.A. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2361 Lakeview Dr, Beavercreek, OH 45431 Phone: 937-704-2130 Fax: 937-704-2140
Brian W Ondulick, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd, Suite 320, Beavercreek, OH 45431 Phone: 937-490-2270 Fax: 937-490-2272
Christopher Robert Schneider, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7900
Dr. Wesley Javeed Johnson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270 Fax: 937-490-2272
Alyssa Jennifer Gans, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 330, Beavercreek, OH 45431 Phone: 937-395-8556 Fax: 937-395-6376

Dr Jacob Carmen Yannetta Iii, DO - Medicare Vascular Surgery in Beavercreek, OH