Dr Richard Keith Jacob Jr, MD - Medicare General Surgery in Monroe, GA

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Dr Richard Keith Jacob Jr, MD is a medicare enrolled "Surgery" physician in Monroe, Georgia. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Piedmont Providers Llc and his current practice location is 2151 W Spring St Ste B210, Monroe, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 207-5738.

Dr Richard Keith Jacob Jr is licensed to practice in Georgia (license number 05881) 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 1316061179.

Contact Information

Dr Richard Keith Jacob Jr, MD
2151 W Spring St Ste B210,
Monroe, GA 30655
(770) 207-5738
(770) 266-7346

Map and Direction




Physician's Profile

Full NameDr Richard Keith Jacob Jr
GenderMale
SpecialityGeneral Surgery
Experience19 Years
Location2151 W Spring St Ste B210, Monroe, Georgia
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 Richard Keith Jacob Jr attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1316061179
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 04/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5597023028
  • Enrollment ID: I20190410000623

Medical Identifiers

Medical identifiers for Dr Richard Keith Jacob Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316061179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 05881 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Walton HospitalMonroe, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Providers Llc9830082825371

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 Richard Keith Jacob Jr allows following entities to bill medicare on his behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321

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 Richard Keith Jacob Jr 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 Richard Keith Jacob Jr, MD
2151 W Spring St Ste B210,
Monroe, GA 30655-3214

Ph: (770) 207-5738		Dr Richard Keith Jacob Jr, MD
2151 W Spring St Ste B210,
Monroe, GA 30655

Ph: (770) 207-5738

Reviews and Comments


Surgery Doctors in Monroe, GA

Michael Brandon Williams, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655
Phone: 770-207-5738    
Dr. Nathaniel Leon Hill Ii, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655
Phone: 770-207-5738    Fax: 770-266-7346
Dr. Cesar Medalla Delima, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 333 Alcovy Street, Suite 10, Monroe, GA 30655
Phone: 770-267-2790    Fax: 770-207-0652

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.