Jacob Alexander Martin Novack, DO in Port Huron, MI

Jacob Alexander Martin Novack, DO is a medicare enrolled "Urology" physician in Port Huron, Michigan. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mclaren Medical Group and his current practice location is 1037 Water St Ste 1, Port Huron, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 967-7000.

Jacob Alexander Martin Novack is licensed to practice in Michigan (license number 5101028607) 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 1669096111.

Contact Information

	Jacob Alexander Martin Novack, DO
	1037 Water St Ste 1, Port Huron, MI 48060-4408
	(248) 967-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Alexander Martin Novack
Gender	Male
Speciality	Urology
Experience	6 Years
Location	1037 Water St Ste 1, Port Huron, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Alexander Martin Novack graduated from medical school in 2020

NPI Data:

NPI Number: 1669096111
Provider Enumeration Date: 06/01/2020
Last Update Date: 10/14/2025

Medicare PECOS Information:

PECOS PAC ID: 7315332046
Enrollment ID: I20251009000897

Medical Identifiers

Medical identifiers for Jacob Alexander Martin Novack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669096111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	5101028607 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mclaren Port Huron	Port huron, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mclaren Medical Group	3971416082	254

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. Jacob Alexander Martin Novack 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
Jacob Alexander Martin Novack, DO 22644 Ridgeway St, Saint Clair Shores, MI 48080-1476 Ph: (586) 216-2615	Jacob Alexander Martin Novack, DO 1037 Water St Ste 1, Port Huron, MI 48060-4408 Ph: (248) 967-7000

Reviews and Comments

Urology Doctors in Port Huron, MI

Mr. Haider Rahbar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1037 Water St, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674
Glenn George Betrus, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1037 Water St, Suite 1, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674
Shivashankar Damodaran, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2611 Electric Ave Ste E, Port Huron, MI 48060 Phone: 810-216-3599
Marshall Kamer, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1037 Water St, Suite 1, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674
Thomas Allan Coury, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1037 Water St, Suite 1, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674

Jacob Alexander Martin Novack, DO - Medicare Urology in Port Huron, MI