Dr Sanjivini Vishwas Jacob, M D in Chattanooga, TN

Dr Sanjivini Vishwas Jacob, M D is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Chattanooga, Tennessee. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Restoration Recovery Pllc and her current practice location is 6141 Shallowford Rd Ste 100, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 498-2000.

Dr Sanjivini Vishwas Jacob is licensed to practice in Tennessee (license number 044848) 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 1629234521.

Contact Information

	Dr Sanjivini Vishwas Jacob, M D
	6141 Shallowford Rd Ste 100, Chattanooga, TN 37421-1663
	(423) 498-2000
	(423) 498-2001

Map and Direction

Physician's Profile

Full Name	Dr Sanjivini Vishwas Jacob
Gender	Female
Speciality	Pathology
Experience	43 Years
Location	6141 Shallowford Rd Ste 100, Chattanooga, Tennessee
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 Sanjivini Vishwas Jacob graduated from medical school in 1981

NPI Data:

NPI Number: 1629234521
Provider Enumeration Date: 07/31/2008
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 8729149794
Enrollment ID: I20200219000135

Medical Identifiers

Medical identifiers for Dr Sanjivini Vishwas Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629234521	NPI	-	NPPES
Q047258	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083A0300X	Preventive Medicine - Addiction Medicine	044848 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Restoration Recovery Pllc	2961777446	6

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 Sanjivini Vishwas Jacob allows following entities to bill medicare on her behalf.

Entity Name	Restoration Recovery Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770011652 PECOS PAC ID: 2961777446 Enrollment ID: O20171010000530

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 Sanjivini Vishwas 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 Sanjivini Vishwas Jacob, M D 6141 Shallowford Rd Ste 100, Chattanooga, TN 37421-1663 Ph: (423) 498-2000	Dr Sanjivini Vishwas Jacob, M D 6141 Shallowford Rd Ste 100, Chattanooga, TN 37421-1663 Ph: (423) 498-2000

Reviews and Comments

Preventive Medicine Doctors in Chattanooga, TN

Mr. Donald H. Watters, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 6141 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-498-2000 Fax: 423-498-2001
Laura J Goodman, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 921 E 3rd St, Chattanooga, TN 37403 Phone: 423-209-8350
Dr. Janelle M Beville, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402 Phone: 423-634-5887 Fax: 423-634-3139
Dr. Mckinley Snipes Lundy Sr., D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 Phone: 423-553-9675 Fax: 423-553-9677
Dr. Jacqulyn Mayre Diggs, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4136 Mountain View Rd, Chattanooga, TN 37415 Phone: 423-876-0725
Stephen M Adams, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave, Chattanooga, TN 37404 Phone: 423-778-8837 Fax: 423-495-4318

Dr Sanjivini Vishwas Jacob, M D - Medicare Pathology in Chattanooga, TN