Mark Matthew Jacobs, MD - Medicare Obstetrics & Gynecology in San Leandro, CA

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Mark Matthew Jacobs, MD is a medicare enrolled "Obstetrics & Gynecology" physician in San Leandro, California. His current practice location is 3553 Whipple Road, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-1000.

Mark Matthew Jacobs is licensed to practice in California (license number G45317) 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 1679533186.

Contact Information

Mark Matthew Jacobs, MD
3553 Whipple Road,
San Leandro, CA 94587-1507
(510) 454-1000
(415) 499-4213

Map and Direction




Physician's Profile

Full NameMark Matthew Jacobs
GenderMale
SpecialityObstetrics & Gynecology
Location3553 Whipple Road, San Leandro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679533186
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 10/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5597837914
  • Enrollment ID: I20080630000648

Medical Identifiers

Medical identifiers for Mark Matthew Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679533186NPI-NPPES
G45317OtherCACA STATE LICENSE NUMBER
00G453170MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology G45317 (California)Primary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine G45317 (California)Secondary

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. Mark Matthew Jacobs allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameRegents Univ Of California Ucsf
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124439807
PECOS PAC ID: 6305160300
Enrollment ID: O20150122001375

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. Mark Matthew 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
Mark Matthew Jacobs, MD
3553 Whipple Road,
Union City, CA 94587-1507

Ph: (510) 454-1000		Mark Matthew Jacobs, MD
3553 Whipple Road,
San Leandro, CA 94587-1507

Ph: (510) 454-1000

Reviews and Comments


Obstetrics & Gynecology Doctors in San Leandro, CA

Ms. Kerry-ann Alyscia Kelly, M.D
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, Ob/gyn Department, San Leandro, CA 94577
Phone: 510-454-4090    
Clara Lee, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Stephanie Kong, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-807-1557    
Marie Louise La Cour, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Colleen Marie Kavanagh, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Alicia Pamela Sinclair, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Leslie Gendler Wilkof, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.