Jacob Chachkes, is a medicare enrolled "Emergency Medicine" physician in Laurinburg, North Carolina. His current practice location is
500 E Lauchwood Dr, Laurinburg, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 291-7000.
Jacob Chachkes is licensed to practice in North Carolina (license number 200301342) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083649602.
Physician's Profile
| Full Name | Jacob Chachkes |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 500 E Lauchwood Dr, Laurinburg, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083649602
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 5294624243
- Enrollment ID: I20080424000676
Medical Identifiers
Medical identifiers for Jacob Chachkes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083649602 | NPI | - | NPPES |
| 135NO | Other | NC | BCBS PROVIDER NUMBER |
| PENDING | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 200301342 (North Carolina) | 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. Jacob Chachkes allows following entities to bill medicare on his behalf.
| Entity Name | Inphynet Contracting Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
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| Entity Name | Blue Radiology Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174976468 PECOS PAC ID: 9032407382 Enrollment ID: O20161019001652 |
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| Entity Name | Em Alliance LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922788959 PECOS PAC ID: 4789039058 Enrollment ID: O20231006002499 |
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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 Chachkes 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 Chachkes, Po Box 409540, Atlanta, GA 30384-9540 Ph: Not Available | Jacob Chachkes, 500 E Lauchwood Dr, Laurinburg, NC 28352-5501 Ph: (910) 291-7000 |
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