Marco A Jacobo, PA-C is a medicare enrolled "Physician Assistant" in Belmont, California. His current practice location is
1301 Shoreway Rd Ste 100, Belmont, California. You can reach out to his office (for appointments etc.) via phone at
(650) 596-7000.
Marco A Jacobo is licensed to practice in California (license number 52110) 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 1215325337.
Provider's Profile
| Full Name | Marco A Jacobo |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1301 Shoreway Rd Ste 100, Belmont, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215325337
- Provider Enumeration Date: 12/23/2014
- Last Update Date: 05/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143545764
- Enrollment ID: I20150202001630
Medical Identifiers
Medical identifiers for Marco A Jacobo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215325337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 52110 (California) | 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. Marco A Jacobo allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Marco A Jacobo 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 |
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Marco A Jacobo, PA-C
3400 Data Dr, Attn Credentialing/payer Enrollment,
Rancho Cordova, CA 95670-7956
Ph: Not Available | Marco A Jacobo, PA-C
1301 Shoreway Rd Ste 100,
Belmont, CA 94002-4110
Ph: (650) 596-7000 |
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