Dr Zachary Shawn Jacoby, OD in Northwood, OH - Medicare Optometrist Provider

Dr Zachary Shawn Jacoby, OD is a medicare enrolled "Optometrist" provider in Northwood, Ohio. His current practice location is 4620 Woodville Rd, Northwood, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 693-0484.

Dr Zachary Shawn Jacoby is licensed to practice in Ohio (license number OPT.007143) 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 1396437828.

Contact Information

	Dr Zachary Shawn Jacoby, OD
	4620 Woodville Rd, Northwood, OH 43619-1802
	(419) 693-0484
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Zachary Shawn Jacoby
Gender	Male
Speciality	Optometrist
Location	4620 Woodville Rd, Northwood, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396437828
Provider Enumeration Date: 05/23/2023
Last Update Date: 05/23/2023

Medicare PECOS Information:

PECOS PAC ID: 2668839754
Enrollment ID: I20230605002859

Medical Identifiers

Medical identifiers for Dr Zachary Shawn Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396437828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT.007143 (Ohio)	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. Dr Zachary Shawn Jacoby allows following entities to bill medicare on his behalf.

Provider Name	John T Archer & Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821679705 PECOS PAC ID: 9931193158 Enrollment ID: O20040412000810

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 Zachary Shawn Jacoby 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
Dr Zachary Shawn Jacoby, OD 4436 Alexander Rd, Pemberville, OH 43450-9483 Ph: (419) 308-4918	Dr Zachary Shawn Jacoby, OD 4620 Woodville Rd, Northwood, OH 43619-1802 Ph: (419) 693-0484

Reviews and Comments

Optometrist in Northwood, OH

Albert I Lavsky, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3725 Williston Rd, Sears Optical, Northwood, OH 43619 Phone: 419-693-0277
Dr. Michael Jay Crawford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2540 Woodville Rd, Northwood, OH 43619 Phone: 419-693-0484 Fax: 419-693-2042
Dr. Chandni Merchant, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2600 Lauren Ln, Northwood, OH 43619 Phone: 719-688-3509
Dr. Auston Hood, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2540 Woodville Rd, Northwood, OH 43619 Phone: 419-693-0484 Fax: 419-693-2042
John T Archer & Associates Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2540 Woodville Rd, Northwood, OH 43619 Phone: 419-693-0484 Fax: 419-693-2042

Dr Zachary Shawn Jacoby, OD - Medicare Optometrist in Northwood, OH