Dr Jacob Zachary Deberry, MD - Medicare Pulmonary Disease in Butler, PA

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Dr Jacob Zachary Deberry, MD is a medicare enrolled "Internal Medicine" physician in Butler, Pennsylvania. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Upmc Community Medicine Inc, Butler Medical Providers and his current practice location is 389 New Castle Rd, Butler, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (833) 906-0108.

Dr Jacob Zachary Deberry is licensed to practice in Pennsylvania (license number MD477835) 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 1114584141.

Contact Information

Dr Jacob Zachary Deberry, MD
389 New Castle Rd,
Butler, PA 16001-1743
(833) 906-0108
(724) 282-1861

Map and Direction




Physician's Profile

Full NameDr Jacob Zachary Deberry
GenderMale
SpecialityPulmonary Disease
Experience7 Years
Location389 New Castle Rd, Butler, Pennsylvania
Accepts Medicare AssignmentsYes. 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 Zachary Deberry graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1114584141
  • Provider Enumeration Date: 05/24/2019
  • Last Update Date: 08/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335476969
  • Enrollment ID: I20220611000298

Medical Identifiers

Medical identifiers for Dr Jacob Zachary Deberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114584141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD477835 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Upmc St MargaretPittsburgh, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upmc Community Medicine Inc2062318975736
Butler Medical Providers7416840160355

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 Zachary Deberry allows following entities to bill medicare on his behalf.
Entity NameUPMC Community Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388
Entity NameUniversity of Pittsburgh Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619935004
PECOS PAC ID: 8729990239
Enrollment ID: O20040308000883

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 Zachary Deberry 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 Jacob Zachary Deberry, MD
3600 Forbes Avenue, Forbes Tower - Plaza Level Suite 140,
Pittsburgh, PA 15213

Ph: Not Available		Dr Jacob Zachary Deberry, MD
389 New Castle Rd,
Butler, PA 16001-1743

Ph: (833) 906-0108

Reviews and Comments


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Dr. Stephanie L Clark, M.D.
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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.