Gail A Jacoby, MD in Nottingham, MD

Gail A Jacoby, MD is a medicare enrolled "Pediatrics" physician in Nottingham, Maryland. Her current practice location is 4924 Campbell Blvd, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 442-2300.

Gail A Jacoby is licensed to practice in Maryland (license number D0095933) 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 1972558245.

Contact Information

	Gail A Jacoby, MD
	4924 Campbell Blvd, Nottingham, MD 21236-5908
	(443) 442-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Gail A Jacoby
Gender	Female
Speciality	Pediatrics
Location	4924 Campbell Blvd, Nottingham, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972558245
Provider Enumeration Date: 05/24/2006
Last Update Date: 06/02/2025

Medicare PECOS Information:

PECOS PAC ID: 9830103910
Enrollment ID: I20230802002050

Medical Identifiers

Medical identifiers for Gail A Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972558245	NPI	-	NPPES
074880	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD19367 (Oregon)	Secondary
208000000X	Pediatrics	D0095933 (Maryland)	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. Gail A Jacoby allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065

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. Gail A Jacoby 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
Gail A Jacoby, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (503) 215-6494	Gail A Jacoby, MD 4924 Campbell Blvd, Nottingham, MD 21236-5908 Ph: (443) 442-2300

Reviews and Comments

Pediatrics Doctors in Nottingham, MD

Smita N Vazarkar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236 Phone: 443-442-2300
Christina Margaret Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600 Fax: 410-933-7601
Ethel Mojoko, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4924 Campbell Blvd, #200, Nottingham, MD 21236 Phone: 443-442-2300
Kristen Shaw Deitchman, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236 Phone: 443-442-2300 Fax: 410-367-2035
Dr. Anthony F Pinto Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236 Phone: 443-442-2300
Dr. Richard Laroy Dietrich, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, MD 21236 Phone: 410-933-7600 Fax: 410-933-7802
Dr. Judith Rubin Dejarnette, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236 Phone: 410-933-7600

Gail A Jacoby, MD - Medicare Pediatrics in Nottingham, MD