Mr Jacob Scott Privitera, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Rochester, New York. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Trauma Burn Emergency Surgery Of The University Of Rochester and his current practice location is
601 Elmwood Ave Box Surg, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 275-3022.
Mr Jacob Scott Privitera is licensed to practice in New York (license number 020185) 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 1023569431.
Physician's Profile
| Full Name | Mr Jacob Scott Privitera |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 601 Elmwood Ave Box Surg, Rochester, New York |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Jacob Scott Privitera graduated from medical school in 2016
NPI Data:
- NPI Number: 1023569431
- Provider Enumeration Date: 10/20/2016
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456632892
- Enrollment ID: I20190515001732
Medical Identifiers
Medical identifiers for Mr Jacob Scott Privitera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023569431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0127X | Surgery - Trauma Surgery | 20185 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 020185 (New York) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 020185 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Trauma Burn Emergency Surgery Of The University Of Rochester | 8921161811 | 21 |
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 Scott Privitera 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 Scott Privitera, PA-C
601 Elmwood Avenue Box Surg,
Rochester, NY 14642-9616
Ph: (585) 275-5100 | Mr Jacob Scott Privitera, PA-C
601 Elmwood Ave Box Surg,
Rochester, NY 14642-0001
Ph: (585) 275-3022 |
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