Jacob Thomas Depolo, MD in Knoxville, TN - Medicare Interventional Radiology

Jacob Thomas Depolo, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Knoxville, Tennessee. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 2018 and has 8 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Vista Radiology, Pc and his current practice location is 2001 Laurel Ave # N304, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 766-6870.

Jacob Thomas Depolo is licensed to practice in Tennessee (license number 64086) 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 1972000800.

Contact Information

	Jacob Thomas Depolo, MD
	2001 Laurel Ave # N304, Knoxville, TN 37916-1810
	(865) 766-6870
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Thomas Depolo
Gender	Male
Speciality	Interventional Radiology
Experience	8 Years
Location	2001 Laurel Ave # N304, Knoxville, Tennessee
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 Thomas Depolo attended and graduated from Jc Edwards School Of Medicine, Marshall University in 2018

NPI Data:

NPI Number: 1972000800
Provider Enumeration Date: 04/08/2018
Last Update Date: 07/02/2026

Medicare PECOS Information:

PECOS PAC ID: 5092065524
Enrollment ID: I20240613000920

Medical Identifiers

Medical identifiers for Jacob Thomas Depolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972000800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	64086 (Tennessee)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkwest Medical Center	Knoxville, TN	Hospital
Fort Sanders Regional Medical Center	Knoxville, TN	Hospital
Leconte Medical Center	Sevierville, TN	Hospital
Morristown Hamblen Hospital Association	Morristown, TN	Hospital
Roane Medical Center	Harriman, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vista Radiology, Pc	9234041559	68

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 Thomas Depolo allows following entities to bill medicare on his behalf.

Entity Name	Vista Radiology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386698710 PECOS PAC ID: 9234041559 Enrollment ID: O20031104000432

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 Thomas Depolo 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 Thomas Depolo, MD 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 Ph: (865) 766-6870	Jacob Thomas Depolo, MD 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 Ph: (865) 766-6870

Reviews and Comments

Radiology Doctors in Knoxville, TN

John Texada, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4709 Papermill Dr Ste 201, Knoxville, TN 37909 Phone: 865-766-6870
Alyssa Louise Dutton, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7500 Mountie Lane, Knoxville, TN 37924 Phone: 865-919-4842
James Scott Schauberger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4820 Old Kingston Pike, Knoxville, TN 37919 Phone: 865-558-9862 Fax: 865-584-3478
Scott A Wegryn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite N304, Knoxville, TN 37916 Phone: 865-546-9484
Dr. Deborah Ann Winters, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 Dowell Springs Blvd Ste 200, Knoxville, TN 37909 Phone: 865-584-0291 Fax: 865-584-4426
Dr. Noel Melinda Bergquist, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1924 Alcoa Hwy # U107, Knoxville, TN 37920 Phone: 865-305-9661 Fax: 865-305-6148
Samuel H Feaster, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2001 Laurel Ave, Suite N304, Knoxville, TN 37916 Phone: 865-546-9484

Jacob Thomas Depolo, MD - Medicare Interventional Radiology in Knoxville, TN