Dr Mridula A Jacob, MD - Medicare Allergy/immunology in New Hartford, NY

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Dr Mridula A Jacob, MD is a medicare enrolled "Allergy & Immunology" physician in New Hartford, New York. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice St Josephs Medical Pc, Slocum Dickson Medical Group Pllc and her current practice location is 1729 Burrstone Rd, New Hartford, New York. You can reach out to her office (for appointments etc.) via phone at (315) 798-1434.

Dr Mridula A Jacob is licensed to practice in New York (license number 295165) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023491701.

Contact Information

Dr Mridula A Jacob, MD
1729 Burrstone Rd,
New Hartford, NY 13413-1001
(315) 798-1434
(315) 798-1461

Map and Direction




Physician's Profile

Full NameDr Mridula A Jacob
GenderFemale
SpecialityAllergy/immunology
Experience10 Years
Location1729 Burrstone Rd, New Hartford, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mridula A Jacob graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1023491701
  • Provider Enumeration Date: 06/30/2015
  • Last Update Date: 07/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507116324
  • Enrollment ID: I20180829000449

Medical Identifiers

Medical identifiers for Dr Mridula A Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023491701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207K00000XAllergy & Immunology 295165 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rome Memorial Hospital, IncRome, NYHospital
Faxton-st Luke's HealthcareUtica, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Josephs Medical Pc4688855844318
Slocum Dickson Medical Group Pllc579977851093

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 Mridula A Jacob allows following entities to bill medicare on her behalf.
Entity NameSlocum Dickson Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285625996
PECOS PAC ID: 5799778510
Enrollment ID: O20040407000427
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

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 Mridula A 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 Mridula A Jacob, MD
1729 Burrstone Rd,
New Hartford, NY 13413-1001

Ph: (315) 798-1434		Dr Mridula A Jacob, MD
1729 Burrstone Rd,
New Hartford, NY 13413-1001

Ph: (315) 798-1434

Reviews and Comments


Allergy & Immunology Doctors in New Hartford, NY

Vrinda Kumar, MBBS
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413
Phone: 315-798-1702    Fax: 315-798-1726
Dr. Pourushasp J Dhabhar, M.D.
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 1729 Burrstone Rd, New Hartford, NY 13413
Phone: 315-798-1700    Fax: 315-798-1707

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.