Zachary Jakubik, DO in Fort Wayne, IN - Medicare Emergency Medicine

Zachary Jakubik, DO is a medicare enrolled "Emergency Medicine" physician in Fort Wayne, Indiana. His current practice location is 2520 E Dupont Rd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 416-3000.

Zachary Jakubik is licensed to practice in Michigan (license number 5101024601) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124512058.

Contact Information

	Zachary Jakubik, DO
	2520 E Dupont Rd, Fort Wayne, IN 46825-1675
	(260) 416-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Zachary Jakubik
Gender	Male
Speciality	Emergency Medicine
Location	2520 E Dupont Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124512058
Provider Enumeration Date: 06/14/2018
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 4284981408
Enrollment ID: I20210920001550

Medical Identifiers

Medical identifiers for Zachary Jakubik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124512058	NPI	-	NPPES
0045751	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5101024601 (Michigan)	Primary
207P00000X	Emergency Medicine	02006550B (Indiana)	Secondary

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. Zachary Jakubik allows following entities to bill medicare on his behalf.

Entity Name	Emergency Professionals Of Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013951219 PECOS PAC ID: 4183604150 Enrollment ID: O20040721000612

Entity Name	App Of Indiana Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740822212 PECOS PAC ID: 2961835400 Enrollment ID: O20191213001639

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. Zachary Jakubik 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
Zachary Jakubik, DO 1909 Gardenia Ave Apt 4, Royal Oak, MI 48067-2130 Ph: (586) 557-5036	Zachary Jakubik, DO 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 Ph: (260) 416-3000

Reviews and Comments

Emergency Medicine Doctors in Fort Wayne, IN

Dr. Danyelle R Aber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Amy Souers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Aeden J Ligon, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9216 Crystal Spring Dr, Fort Wayne, IN 46804 Phone: 765-480-9828
Albert V Emilian, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10343 Dawsons Creek Blvd, Suite A, Fort Wayne, IN 46825 Phone: 260-203-9600 Fax: 260-739-6167
Dr. Janardhanan V Davy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd Ste 2121, Fort Wayne, IN 46804 Phone: 260-435-2937
Dr. Elmer Toliver, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431
Bruce Sowers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001

Zachary Jakubik, DO - Medicare Emergency Medicine in Fort Wayne, IN