Mr Kaleb L Jacobs, DO - Medicare Obstetrics/gynecology in Peoria, IL

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Mr Kaleb L Jacobs, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Peoria, Illinois. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Heartland Community Health Clinic and his current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-3024.

Mr Kaleb L Jacobs is licensed to practice in Illinois (license number 036142613) 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 1124468129.

Contact Information

Mr Kaleb L Jacobs, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-3024
(309) 655-3739

Map and Direction




Physician's Profile

Full NameMr Kaleb L Jacobs
GenderMale
SpecialityObstetrics/gynecology
Experience12 Years
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kaleb L Jacobs graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1124468129
  • Provider Enumeration Date: 07/05/2013
  • Last Update Date: 09/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557682168
  • Enrollment ID: I20171024000488

Medical Identifiers

Medical identifiers for Mr Kaleb L Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124468129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology R-34-2015 (New Mexico)Secondary
207V00000XObstetrics & Gynecology 125.063154 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036142613 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Heartland Community Health Clinic741685031848

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. Mr Kaleb L Jacobs allows following entities to bill medicare on his behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameCouri Center For Gynecology And Integrative Womens Health Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528368875
PECOS PAC ID: 4880878511
Enrollment ID: O20110405000301

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. Mr Kaleb L Jacobs 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 AddressPractice Location Address
Mr Kaleb L Jacobs, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-3024		Mr Kaleb L Jacobs, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-3024

Reviews and Comments


Obstetrics & Gynecology Doctors in Peoria, IL

Dr. Michael Leonardi, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4911 N Executive Dr, Suite 200, Peoria, IL 61614
Phone: 309-683-6700    Fax: 309-683-6722
Charles Egley, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-4144    
Dr. Pilar Mckay Rainey, D.O.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak, Peoria, IL 61634
Phone: 309-655-4163    
Gary A Johnson, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3000
Mrs. Tamara L. Olt, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6915 N Knoxville Ave, Peoria, IL 61614
Phone: 309-692-2805    Fax: 309-692-1913
Dr. Rebecca Jane Byler Dann, M.D., M.P.H.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Illini Dr # 1649, Peoria, IL 61605
Phone: 309-655-3024    Fax: 309-655-3739
Rida W Boulos, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637
Phone: 309-655-3024    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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