Dr Mark Kevin Jacob, MD - Medicare Critical Care (intensivists) in Rockford, IL

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Dr Mark Kevin Jacob, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Rockford, Illinois. He went to Wayne State University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Geriatric Associates Of Michigan, Pllc, Dlp Western Carolina Physician Practices Llc, Swedishamerican Hospital and his current practice location is 1340 Charles St Ste 401, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 696-6102.

Dr Mark Kevin Jacob is licensed to practice in North Carolina (license number 2011-01117) 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 1063688497.

Contact Information

Dr Mark Kevin Jacob, MD
1340 Charles St Ste 401,
Rockford, IL 61104-2200
(779) 696-6102
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark Kevin Jacob
GenderMale
SpecialityCritical Care (intensivists)
Experience20 Years
Location1340 Charles St Ste 401, Rockford, Illinois
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 Mark Kevin Jacob attended and graduated from Wayne State University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1063688497
  • Provider Enumeration Date: 05/06/2008
  • Last Update Date: 12/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486827011
  • Enrollment ID: I20180626003693

Medical Identifiers

Medical identifiers for Dr Mark Kevin Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063688497NPI-NPPES
5919082MedicaidNC
1653FOtherNCBCBSNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301086585 (Michigan)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 036.161882 (Illinois)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 04-331614 (Kansas)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 04-331614 (Kansas)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 2011-01117 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish American HospitalRockford, ILHospital
Harris Regional HospitalSylva, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geriatric Associates Of Michigan, Pllc94364004478
Dlp Western Carolina Physician Practices Llc9032338975148
Swedishamerican Hospital5799698346332

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 Mark Kevin Jacob allows following entities to bill medicare on his behalf.
Entity NameBronson Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417961137
PECOS PAC ID: 0244148633
Enrollment ID: O20031208000832
Entity NameMymichigan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740230127
PECOS PAC ID: 4981501939
Enrollment ID: O20040126000905
Entity NameBronson Battle Creek Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093119638
PECOS PAC ID: 0547173478
Enrollment ID: O20041103000774
Entity NameLakeland Medical Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216
Entity NameAdvantage Health/saint Mary's Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279
Entity NameGeriatric Associates Of Michigan, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881172989
PECOS PAC ID: 9436400447
Enrollment ID: O20181001001205
Entity NameCommunity Home Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568909505
PECOS PAC ID: 4981988771
Enrollment ID: O20211207001133

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 Mark Kevin 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 Mark Kevin Jacob, MD
160 Allen St, Medical Staff Office,
Rutland, VT 05701-4560

Ph: (913) 909-7400		Dr Mark Kevin Jacob, MD
1340 Charles St Ste 401,
Rockford, IL 61104-2200

Ph: (779) 696-6102

Reviews and Comments


Internal Medicine Doctors in Rockford, IL

Dr. Adekola Abioudun Ashaye, MD
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    Fax: 815-490-1881
Prasad K. Kilaru, MD
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Practice Location: 2350 N Rockton Ave, Rockford, IL 61103
Phone: 815-971-2000    
David R. Mitchell, MD
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Practice Location: 5970 Churchview Dr, Rockford, IL 61107
Phone: 815-971-2000    
Dr. Amrutha Mary George, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1253 N Alpine Rd, Rockford, IL 61107
Phone: 779-696-9201    
Rajyalaxmi Mullapudi, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Geoffrey Tsaras, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1340 Charles St Ste 404, Rockford, IL 61104
Phone: 779-696-1890    Fax: 779-696-2410
Ashley Annly Liou, DO
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 535 Roxbury Rd, Rockford, IL 61107
Phone: 815-397-7212    Fax: 815-397-2539

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.