Raji Jacob, MD in Peoria, IL - Medicare Nephrology

Raji Jacob, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Peoria, Illinois. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Osf Multi-specialty Group, Renalcare Associates, S.c. and her current practice location is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 676-8123.

Raji Jacob is licensed to practice in Illinois (license number 036134553) 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 1538325477.

Contact Information

	Raji Jacob, MD
	420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168
	(309) 676-8123
	(309) 676-8455

Map and Direction

Physician's Profile

Full Name	Raji Jacob
Gender	Female
Speciality	Nephrology
Experience	23 Years
Location	420 Ne Glen Oak Ave Ste 401, Peoria, Illinois
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:

Raji Jacob graduated from medical school in 2001

NPI Data:

NPI Number: 1538325477
Provider Enumeration Date: 07/30/2008
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3678606258
Enrollment ID: I20140318000805

Medical Identifiers

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

Identifier	Type	State	Issuer
1538325477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	036134553 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmc - Peoria North	Peoria, IL	Dialysis facility
Fmc - Central Illinois Pekin	Pekin, IL	Dialysis facility
Davita - Tazewell County Dialysis	Pekin, IL	Dialysis facility
Saint Francis Medical Center	Peoria, IL	Hospital
Methodist Medical Center Of Illinois	Peoria, IL	Hospital
Pekin Memorial Hospital	Pekin, IL	Hospital
Proctor Hospital	Peoria, IL	Hospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr	Ottawa, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1543
Renalcare Associates, S.c.	7012818347	46

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. Raji Jacob allows following entities to bill medicare on her behalf.

Entity Name	Renalcare Associates, S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649300377 PECOS PAC ID: 7012818347 Enrollment ID: O20040119000524

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Raji 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
Raji Jacob, MD 420 Ne Glen Oak Ave, Ste 401, Peoria, IL 61603-3168 Ph: (309) 676-8123	Raji Jacob, MD 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3168 Ph: (309) 676-8123

Reviews and Comments

Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Riaz Shah, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729
Dr. James Daniel Dewar, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257
Waqas Ali, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Dr. Sudhir Mungee, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830
Dr. Nikesh Kavi Patel, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Dr. Bhanu T Paturi, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383

Raji Jacob, MD - Medicare Nephrology in Peoria, IL