Kenneth Lee Dine Jacobs, DO in Springfield, OH

Kenneth Lee Dine Jacobs, DO is a medicare enrolled "Emergency Medicine" physician in Springfield, Ohio. His current practice location is 2615 E High St, Springfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 325-0531.

Kenneth Lee Dine Jacobs is licensed to practice in Ohio (license number 34.005854) 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 1285698670.

Contact Information

	Kenneth Lee Dine Jacobs, DO
	2615 E High St, Springfield, OH 45505-1412
	(937) 325-0531
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenneth Lee Dine Jacobs
Gender	Male
Speciality	Emergency Medicine
Location	2615 E High St, Springfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285698670
Provider Enumeration Date: 04/13/2006
Last Update Date: 07/27/2020

Medicare PECOS Information:

PECOS PAC ID: 9830132760
Enrollment ID: I20050602000248

Medical Identifiers

Medical identifiers for Kenneth Lee Dine Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285698670	NPI	-	NPPES
0986116	Medicaid	OH
000000017441	Other	OH	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	34.005854 (Ohio)	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. Kenneth Lee Dine Jacobs allows following entities to bill medicare on his behalf.

Entity Name	Qualified Emergency Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700872728 PECOS PAC ID: 6002720430 Enrollment ID: O20031118001049

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. Kenneth Lee Dine 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 Address	Practice Location Address
Kenneth Lee Dine Jacobs, DO 3131 Newmark Dr Ste 210, Miamisburg, OH 45342-5400 Ph: (937) 438-8910	Kenneth Lee Dine Jacobs, DO 2615 E High St, Springfield, OH 45505-1412 Ph: (937) 325-0531

Reviews and Comments

Emergency Medicine Doctors in Springfield, OH

Wade G Smith, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1343 N Fountain Blvd, Springfield, OH 45504 Phone: 937-390-5000 Fax: 937-390-5526
Chidoziri C. Nwokoro, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-1000
James Bianchi Iii, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 E High St, Springfield, OH 45505 Phone: 937-325-0531
Kathleen L Schomer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1343 N Fountain Blvd, Springfield, OH 45504 Phone: 937-390-5000 Fax: 937-390-5526
Ashli Burns, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Department Of Emergency Medicine, Springfield, OH 45504 Phone: 614-293-3551
Dr. Annette Raquel Nathan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Way, Springfield Regional Medical Center, Springfield, OH 45505 Phone: 937-523-1401 Fax: 937-523-1950
Dr. Bethany Paczkowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-5062

Kenneth Lee Dine Jacobs, DO - Medicare Emergency Medicine in Springfield, OH