Samuel Sunny Jacob, DO in Ridgewood, NJ - Medicare Physical Medicine And Rehabilitation

Samuel Sunny Jacob, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Ridgewood, New Jersey. He went to National College Of Chiropractic and graduated in 2017 and has 9 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Valley Physician Services Pc and his current practice location is 1200 East Ridgewood Avenue, East Wing, Suite 306,, Ridgewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 612-4857.

Samuel Sunny Jacob is licensed to practice in New Jersey (license number 25MB11490200) 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 1134651391.

Contact Information

	Samuel Sunny Jacob, DO
	1200 East Ridgewood Avenue, East Wing, Suite 306,, Ridgewood, NJ 07450
	(201) 612-4857
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Sunny Jacob
Gender	Male
Speciality	Physical Medicine And Rehabilitation
Experience	9 Years
Location	1200 East Ridgewood Avenue, Ridgewood, New Jersey
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:

Samuel Sunny Jacob attended and graduated from National College Of Chiropractic in 2017

NPI Data:

NPI Number: 1134651391
Provider Enumeration Date: 03/28/2017
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 6507100112
Enrollment ID: I20220901001515

Medical Identifiers

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

Identifier	Type	State	Issuer
1134651391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081S0010X	Physical Medicine & Rehabilitation - Sports Medicine	25MB11490200 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valley Hospital	Ridgewood, NJ	Hospital
St Joseph's Hospital And Medical Center	Paterson, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valley Physician Services Pc	3577857333	509

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. Samuel Sunny Jacob allows following entities to bill medicare on his behalf.

Entity Name	Valley Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824

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. Samuel Sunny 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
Samuel Sunny Jacob, DO 18 Martino Way, Pomona, NY 10970-2649 Ph: (914) 318-0088	Samuel Sunny Jacob, DO 1200 East Ridgewood Avenue, East Wing, Suite 306,, Ridgewood, NJ 07450 Ph: (201) 612-4857

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Ridgewood, NJ

Randy F Marrinan, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471
Dr. Rehan Ali, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1144 E Ridgewood Ave Fl 2, Ridgewood, NJ 07450 Phone: 201-336-0188 Fax: 201-336-0141
Samantha Sabban, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1144 E Ridgewood Ave Fl 2, Ridgewood, NJ 07450 Phone: 201-336-0188
Dr. Beena S Balakrishnan, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-690-6122
Angela M D'alessandro, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 505 Goffle Rd, Ridgewood, NJ 07450 Phone: 201-251-3304 Fax: 201-447-8526
Dr. Lauren M Terranova, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471

Samuel Sunny Jacob, DO - Medicare Physical Medicine And Rehabilitation in Ridgewood, NJ