Lisa Roselin Jacob, MD in West Bloomfield, MI

Lisa Roselin Jacob, MD is a medicare enrolled "Anesthesiology" physician in West Bloomfield, Michigan. She went to George Washington University School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Henry Ford Health System, Henry Ford West Bloomfield Hospital and her current practice location is 6777 W Maple Rd, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 205-8581.

Lisa Roselin Jacob is licensed to practice in Michigan (license number 4301109137) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871810879.

Contact Information

	Lisa Roselin Jacob, MD
	6777 W Maple Rd, West Bloomfield, MI 48322
	(313) 205-8581
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Roselin Jacob
Gender	Female
Speciality	Anesthesiology
Experience	15 Years
Location	6777 W Maple Rd, West Bloomfield, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Roselin Jacob attended and graduated from George Washington University School Of Medicine in 2010

NPI Data:

NPI Number: 1871810879
Provider Enumeration Date: 04/29/2010
Last Update Date: 07/05/2018

Medicare PECOS Information:

PECOS PAC ID: 7416262811
Enrollment ID: I20160628002868

Medical Identifiers

Medical identifiers for Lisa Roselin Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871810879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	036138036 (Illinois)	Secondary
207L00000X	Anesthesiology	4301109137 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford West Bloomfield Hospital	West bloomfield, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Health System	0547178311	2304
Henry Ford West Bloomfield Hospital	2264589449	88

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. Lisa Roselin Jacob allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003989690 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000300

Entity Name	Henry Ford West Bloomfield Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518104686 PECOS PAC ID: 2264589449 Enrollment ID: O20090403000176

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. Lisa Roselin Jacob 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
Lisa Roselin Jacob, MD 6199 Wincliff Dr, West Bloomfield, MI 48322-4800 Ph: (610) 247-1086	Lisa Roselin Jacob, MD 6777 W Maple Rd, West Bloomfield, MI 48322 Ph: (313) 205-8581

Reviews and Comments

Anesthesiology Doctors in West Bloomfield, MI

Dr. Bryan Jeffrey Cohen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 313-850-9991
Jerome Langston, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, Department Of Anesthesia, West Bloomfield, MI 48322 Phone: 248-325-0636 Fax: 248-325-0640
Piyush K. Desai, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 Phone: 248-661-6455
Steven Mitchell Wiener, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd, Suite 2100, West Bloomfield, MI 48323 Phone: 248-624-7246 Fax: 248-624-2597
Masud Imran, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 Phone: 248-661-6455
Dr. Asif Mahmood Malik, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, Dept. Of Anesthesiology, Hf W.bloomfield Hospital, West Bloomfield, MI 48322 Phone: 248-325-1000
Dr. William Johnson Hightower, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, Department Of Anesthesiology, West Bloomfield, MI 48322 Phone: 248-325-1000

Lisa Roselin Jacob, MD - Medicare Anesthesiology in West Bloomfield, MI