Mary Amanda Jacobs, MD in State College, PA - Medicare Micrographic Dermatologic Surgery (mds)

Mary Amanda Jacobs, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in State College, Pennsylvania. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). She is a member of the group practice Geisinger Clinic and her current practice location is 200 Scenery Dr., State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 231-4560.

Mary Amanda Jacobs is licensed to practice in Pennsylvania (license number MD437386) 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 1811973894.

Contact Information

	Mary Amanda Jacobs, MD
	200 Scenery Dr., State College, PA 16801-5602
	(814) 231-4560
	(814) 231-6246

Map and Direction

Physician's Profile

Full Name	Mary Amanda Jacobs
Gender	Female
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	21 Years
Location	200 Scenery Dr., State College, Pennsylvania
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:

Mary Amanda Jacobs attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2003

NPI Data:

NPI Number: 1811973894
Provider Enumeration Date: 12/21/2005
Last Update Date: 08/05/2020

Medicare PECOS Information:

PECOS PAC ID: 8325016421
Enrollment ID: I20090819000336

Medical Identifiers

Medical identifiers for Mary Amanda Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811973894	NPI	-	NPPES
ENROLLED	Medicaid	IA
102337081	Medicaid	PA
699485700	Medicaid	MN
P00333407	Other	MN	RAILROAD MEDICARE
35163500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	46763 (Minnesota)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	MD437386 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Medical Center	Danville, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	2866

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. Mary Amanda Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Dubois Dermatology And Cosmetics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225419666 PECOS PAC ID: 8022324003 Enrollment ID: O20150908000183

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. Mary Amanda 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
Mary Amanda Jacobs, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144	Mary Amanda Jacobs, MD 200 Scenery Dr., State College, PA 16801-5602 Ph: (814) 231-4560

Reviews and Comments

Dermatology Doctors in State College, PA

Timothy David Mckinley, Dermatology Medicare: Medicare Enrolled Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246
Dr. Cassandra Joy Simonetta, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 32 Colonnade Way, State College, PA 16803 Phone: 814-272-4445 Fax: 814-272-4450
Jerry Forrest Mikesell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1393 N Atherton St, State College, PA 16803 Phone: 814-238-6097 Fax: 814-238-5527
Dr. Loretta A Pratt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 312, State College, PA 16803 Phone: 814-237-6600 Fax: 814-237-5383
Mark Edward Kozminsky, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2505 Green Tech Dr, Suite A1, State College, PA 16803 Phone: 814-237-6600 Fax: 814-237-5383
Dr. Matthew Allyn Hazey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Scenery Dr Uppr Level, State College, PA 16801 Phone: 814-237-6600 Fax: 814-237-5383

Mary Amanda Jacobs, MD - Medicare Micrographic Dermatologic Surgery (mds) in State College, PA