Mackenzie J Jacoby, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Houston, Texas. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Ut Physicians and her current practice location is
6431 Fannin St Ste Msb 5195, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 500-6113.
Mackenzie J Jacoby is licensed to practice in * (Not Available) (license number ) 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 1396207106.
Physician's Profile
| Full Name | Mackenzie J Jacoby |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Experience | 6 Years |
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| Location | 6431 Fannin St Ste Msb 5195, Houston, Texas |
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| Accepts Medicare Assignments | Yes. She 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:
- Mackenzie J Jacoby graduated from medical school in 2019
NPI Data:
- NPI Number: 1396207106
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 06/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395189088
- Enrollment ID: I20240221002589
Medical Identifiers
Medical identifiers for Mackenzie J Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396207106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | U4228 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ut Physicians | 8426960360 | 1554 |
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. Mackenzie J Jacoby allows following entities to bill medicare on her behalf.
| Entity Name | Ut Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033157821
PECOS PAC ID: 8426960360
Enrollment ID: O20031107000268 |
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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. Mackenzie J Jacoby 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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Mackenzie J Jacoby, MD
2502 Bevis St,
Houston, TX 77008-1848
Ph: (573) 673-1005 | Mackenzie J Jacoby, MD
6431 Fannin St Ste Msb 5195,
Houston, TX 77030-1501
Ph: (713) 500-6113 |
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