Vinitha Anne Jacob, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Ann Arbor, Michigan. Her current practice location is
1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 936-4000.
Vinitha Anne Jacob is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851753800.
Physician's Profile
| Full Name | Vinitha Anne Jacob |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851753800
- Provider Enumeration Date: 03/28/2016
- Last Update Date: 05/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 6800180647
- Enrollment ID: I20200706001443
Medical Identifiers
Medical identifiers for Vinitha Anne Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851753800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 4301501574 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Vinitha Anne Jacob allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The University Of Michigan |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
|---|
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. Vinitha Anne 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 |
Vinitha Anne Jacob, 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Vinitha Anne Jacob, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
Reviews and Comments