Dr Shushan Jacob, MD - Medicare Surgery in North Las Vegas, NV

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Dr Shushan Jacob, MD is a medicare enrolled "Surgery - Surgery Of The Hand" physician in North Las Vegas, Nevada. Her current practice location is 6900 N Pecos Rd, North Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 791-9000.

Dr Shushan Jacob is licensed to practice in Texas (license number N7548) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114119542.

Contact Information

Dr Shushan Jacob, MD
6900 N Pecos Rd,
North Las Vegas, NV 89086-4400
(702) 791-9000
Not Available

Map and Direction




Physician's Profile

Full NameDr Shushan Jacob
GenderFemale
SpecialitySurgery - Surgery Of The Hand
Location6900 N Pecos Rd, North Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114119542
  • Provider Enumeration Date: 08/09/2007
  • Last Update Date: 02/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3072697770
  • Enrollment ID: I20111007000319

Medical Identifiers

Medical identifiers for Dr Shushan Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114119542NPI-NPPES
286943004MedicaidTX
286943005MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery N7548 (Texas)Secondary
2086S0105XSurgery - Surgery Of The Hand N7548 (Texas)Primary

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 Shushan Jacob allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942270566
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792
Entity NameAlliance Hand And Wrist Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780202499
PECOS PAC ID: 3476978321
Enrollment ID: O20200810000804

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 Shushan 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 Shushan Jacob, MD
2140 E Southlake Blvd Ste L-605,
Southlake, TX 76092-6516

Ph: (267) 408-9036		Dr Shushan Jacob, MD
6900 N Pecos Rd,
North Las Vegas, NV 89086-4400

Ph: (702) 791-9000

Reviews and Comments


Surgery Doctors in North Las Vegas, NV

Dr. Jaclyn L. Munn, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 6900 Pecos Rd, Surgical Department Mail Code 112, North Las Vegas, NV 89086
Phone: 702-791-9000    
Dr. Robert-marlo Felicilda Bautista Jr., M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086
Phone: 702-682-6983    
Dr. Trevor Russell Caldwell, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086
Phone: 702-791-9000    
Laurier Joseph Tremblay Jr., M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 6900 Pecos Rd, Va Hospital, Department Of Surgery, North Las Vegas, NV 89086
Phone: 702-791-9000    
Dr. Vicente D. Narciso, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7368 Night Heron Way, Ward 3c, North Las Vegas, NV 89084
Phone: 702-638-0099    Fax: 702-638-0099
Luis Panuncialman, M.D.,F.A.C.S.
Surgery
Medicare: Medicare Enrolled
Practice Location: 6900 Pecos Rd, North Las Vegas, NV 89086
Phone: 702-791-9000    Fax: 702-791-9110

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.