Mr Jacob Holden Yates, PA-C is a medicare enrolled "Physician Assistant" physician in Baltimore, Maryland. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Medstar Medical Group Ii Llc and his current practice location is
1800 Orleans Street, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 955-5000.
Mr Jacob Holden Yates is licensed to practice in Maryland (license number C05524) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750785432.
Physician's Profile
| Full Name | Mr Jacob Holden Yates |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 12 Years |
|---|
| Location | 1800 Orleans Street, Baltimore, Maryland |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Jacob Holden Yates graduated from medical school in 2014
NPI Data:
- NPI Number: 1750785432
- Provider Enumeration Date: 10/09/2014
- Last Update Date: 09/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 0648594101
- Enrollment ID: I20150112000811
Medical Identifiers
Medical identifiers for Mr Jacob Holden Yates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750785432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | C05524 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | C05524 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
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. Mr Jacob Holden Yates allows following entities to bill medicare on his behalf.
| Entity Name | Johns Hopkins University |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
|---|
| Entity Name | Medstar Medical Group II LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
|---|
| Entity Name | Medstar Medical Group Radiology, LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140822001847 |
|---|
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. Mr Jacob Holden Yates 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 |
Mr Jacob Holden Yates, PA-C 53 Northwood Drive, Timonium, MD 21093 Ph: (443) 761-0369 | Mr Jacob Holden Yates, PA-C 1800 Orleans Street, Baltimore, MD 21287 Ph: (410) 955-5000 |
Reviews and Comments