Dr Mridula A Jacob, MD in Springfield, MA - Medicare Internal Medicine

Dr Mridula A Jacob, MD is a medicare enrolled "Internal Medicine" physician in Springfield, Massachusetts. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Baystate Medical Practices Inc, Berkshire Medical Center Inc and her current practice location is 759 Chestnut Street, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 794-6297.

Dr Mridula A Jacob is licensed to practice in Massachusetts (license number 276560) 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
	759 Chestnut Street, Springfield, MA 01107-1619
	(413) 794-6297
	(413) 794-1767

Map and Direction

Physician's Profile

Full Name	Dr Mridula A Jacob
Gender	Female
Speciality	Internal Medicine
Experience	9 Years
Location	759 Chestnut Street, Springfield, Massachusetts
Accepts Medicare Assignments	Yes. 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: 09/19/2019

Medicare PECOS Information:

PECOS PAC ID: 6507116324
Enrollment ID: I20190122003099

Medical Identifiers

Medical identifiers for Dr Mridula A Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023491701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	295165 (New York)	Secondary
207R00000X	Internal Medicine	276560 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baystate Medical Center	Springfield, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baystate Medical Practices Inc	5991602971	1015
Berkshire Medical Center Inc	1355232711	158

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 Name	Baystate Medical Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080

Entity Name	Berkshire Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088

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 Address	Practice Location Address
Dr Mridula A Jacob, MD 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700	Dr Mridula A Jacob, MD 759 Chestnut Street, Springfield, MA 01107-1619 Ph: (413) 794-6297

Reviews and Comments

Internal Medicine Doctors in Springfield, MA

Grace Makari-judson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Main Street, Springfield, MA 01107 Phone: 413-794-9338 Fax: 413-794-9754
Peter Whittredge, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 410, Springfield, MA 01107 Phone: 413-781-5735 Fax: 413-732-0225
Dr. Marc A Goldman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Carew St Ste 200, Springfield, MA 01104 Phone: 413-732-4269 Fax: 413-785-4619
Twara K Tarasaria, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767
Dr. Joan Wanda Lisak, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 780 Chestnut St, Suite 20, Springfield, MA 01107 Phone: 413-781-2200 Fax: 413-781-2202
Dr. Eva Karacsonyi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2150 Main Street, Springfield, MA 01104 Phone: 413-739-5676 Fax: 413-739-2278
Dr. Sun Tien Lin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Liberty St, Suite 204, Springfield, MA 01103 Phone: 413-788-4321 Fax: 413-788-8877

Dr Mridula A Jacob, MD - Medicare Internal Medicine in Springfield, MA