Dr Rodney Leigh Jacob, OD is a medicare enrolled "Optometrist" provider in Tsaile, Arizona. His current practice location is
Indian Route 64 And 12, Tsaile Health Clinic, Tsaile, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 724-3707.
Dr Rodney Leigh Jacob is licensed to practice in Oklahoma (license number 2548) 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 1730294893.
Healthcare Provider's Profile
| Full Name | Dr Rodney Leigh Jacob |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | Indian Route 64 And 12, Tsaile, Arizona |
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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: 1730294893
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 02/07/2014
Medicare PECOS Information:
- PECOS PAC ID: 7012141898
- Enrollment ID: I20131010000115
Medical Identifiers
Medical identifiers for Dr Rodney Leigh Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730294893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2548 (Oklahoma) | Primary |
| 152W00000X | Optometrist | 816 (Mississippi) | 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. Dr Rodney Leigh Jacob allows following entities to bill medicare on his behalf.
| Provider Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508800129
PECOS PAC ID: 9436062585
Enrollment ID: O20031106000210 |
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| Provider Name | Dhhs Ihs Phoenix Area |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356628028
PECOS PAC ID: 9436325420
Enrollment ID: O20120222000148 |
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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. Dr Rodney Leigh 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 |
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Dr Rodney Leigh Jacob, OD
Po Box 451,
Tsaile, AZ 86556-0451
Ph: (928) 724-3162 | Dr Rodney Leigh Jacob, OD
Indian Route 64 And 12, Tsaile Health Clinic,
Tsaile, AZ 85665-0021
Ph: (928) 724-3707 |
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