Dr Jacob Carmen Yannetta Iii, DO in Springfield, OH

Dr Jacob Carmen Yannetta Iii, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Springfield, Ohio. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2002 and has 24 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 30 W Mccreight Ave Ste 106, Springfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 523-9885.

Dr Jacob Carmen Yannetta Iii is licensed to practice in Ohio (license number 34.008653) 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
	30 W Mccreight Ave Ste 106, Springfield, OH 45504-1853
	(937) 523-9885
	(937) 523-9886

Map and Direction

Physician's Profile

Full Name	Dr Jacob Carmen Yannetta Iii
Gender	Male
Speciality	Vascular Surgery
Experience	24 Years
Location	30 W Mccreight Ave Ste 106, Springfield, 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: 02/02/2026

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
2086S0129X	Surgery - Vascular Surgery	34.008653 (Ohio)	Primary
208600000X	Surgery	34.008653 (Ohio)	Secondary

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 30 W Mccreight Ave Ste 106, Springfield, OH 45504-1853 Ph: (937) 523-9885	Dr Jacob Carmen Yannetta Iii, DO 30 W Mccreight Ave Ste 106, Springfield, OH 45504-1853 Ph: (937) 523-9885

Reviews and Comments

Surgery Doctors in Springfield, OH

Peter William Wagner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 W Mccreight Ave, Suite 208, Springfield, OH 45504 Phone: 937-399-7021 Fax: 937-399-0697
Marios Petrous Panayides, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Warder St, Suite 220, Springfield, OH 45504 Phone: 937-399-7021 Fax: 937-399-0697
Joseph Gerard Demeter, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 W Mccreight Ave, Suite 208, Springfield, OH 45504 Phone: 937-399-7021 Fax: 937-399-0697
Jennifer Marie Daniels, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Warder St, Suite 220, Springfield, OH 45504 Phone: 937-399-7021 Fax: 937-399-0697
Dr. Meghan Kathleen Arndts, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 W Mccreight Ave, Ste 106, Springfield, OH 45504 Phone: 937-523-9820
Dr. Richard Ward Furay, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1343 N Fountain Blvd, 2nd Floor Imaging Center, Springfield, OH 45504 Phone: 937-323-2690 Fax: 937-323-1009
Ramaswamy Ravi Kumar, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 W Mccreight Ave Ste 106, Springfield, OH 45504 Phone: 937-523-9885 Fax: 937-523-9886

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