Jacob Michael Lurie, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Fairfield, Connecticut. He went to Icahn School Of Medicine At Mount Sinai and graduated in 2020 and has 6 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Brigham And Womens Physicians Organization Inc and his current practice location is
305 Black Rock Tpke, Fairfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(508) 887-1697.
Jacob Michael Lurie is licensed to practice in Connecticut (license number 80666) 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 1407475247.
Physician's Profile
| Full Name | Jacob Michael Lurie |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 6 Years |
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| Location | 305 Black Rock Tpke, Fairfield, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob Michael Lurie attended and graduated from Icahn School Of Medicine At Mount Sinai in 2020
NPI Data:
- NPI Number: 1407475247
- Provider Enumeration Date: 04/12/2020
- Last Update Date: 07/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991240038
- Enrollment ID: I20240712000942
Medical Identifiers
Medical identifiers for Jacob Michael Lurie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407475247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 1018593 (Massachusetts) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 1018593 (Massachusetts) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 80666 (Connecticut) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 80666 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brigham And Womens Physicians Organization Inc | 3870405988 | 2680 |
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 Michael Lurie allows following entities to bill medicare on his behalf.
| Entity Name | Brigham & Womens Physicians Organization Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260 |
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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 Michael Lurie 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 |
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Jacob Michael Lurie, MD
305 Black Rock Tpke,
Fairfield, CT 06825-5508
Ph: (508) 887-1697 | Jacob Michael Lurie, MD
305 Black Rock Tpke,
Fairfield, CT 06825-5508
Ph: (508) 887-1697 |
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