Marianne Jacob, in West Orange, NJ

Marianne Jacob, is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in West Orange, New Jersey. Her current practice location is 375 Mount Pleasant Ave, West Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 322-6900.

Marianne Jacob is licensed to practice in New York (license number 297526) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215453857.

Contact Information

	Marianne Jacob,
	375 Mount Pleasant Ave, West Orange, NJ 07052-2750
	(973) 322-6900
	(973) 322-6999

Map and Direction

Physician's Profile

Full Name	Marianne Jacob
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	375 Mount Pleasant Ave, West Orange, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215453857
Provider Enumeration Date: 08/15/2017
Last Update Date: 10/06/2022

Medicare PECOS Information:

PECOS PAC ID: 0648655589
Enrollment ID: I20220914000324

Medical Identifiers

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

Identifier	Type	State	Issuer
1215453857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0205X	Pediatrics - Pediatric Endocrinology	25MB11494800 (New Jersey)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	297526 (New York)	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. Marianne Jacob allows following entities to bill medicare on her behalf.

Entity Name	Barnabas Health Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951

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. Marianne 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
Marianne Jacob, 48 Sycamore Ln, Roslyn Heights, NY 11577-2522 Ph: () -	Marianne Jacob, 375 Mount Pleasant Ave, West Orange, NJ 07052-2750 Ph: (973) 322-6900

Reviews and Comments

Pediatrics Doctors in West Orange, NJ

Dr. Erik Dienna, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 745 Northfield Ave Ste 7, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 855-274-7153
Dr. Svetlana Lantsman Sabel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999
Dr. Susan Sonhe Yoo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186
Stephen Amaefuna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Faas Ct, West Orange, NJ 07052 Phone: 973-715-2688 Fax: 973-324-9725
Dr. Constantinos Kintiroglou, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 973-243-1227
Valentyna Tack, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186

Marianne Jacob, - Medicare Pediatrics in West Orange, NJ