Dr Jack Jacob, MD - Medicare Pediatrics in Anchorage, AK

Dr Jack Jacob, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Anchorage, Alaska. His current practice location is 3340 Providence Dr, Suite 366, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 563-3026.

Dr Jack Jacob is licensed to practice in Alaska (license number 1643) 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 1437111093.

Contact Information

Dr Jack Jacob, MD
3340 Providence Dr, Suite 366,
Anchorage, AK 99508-4616
(907) 563-3026
(907) 562-6445



Physician's Profile

Full NameDr Jack Jacob
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location3340 Providence Dr, Anchorage, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437111093
  • Provider Enumeration Date: 04/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1951572163
  • Enrollment ID: I20110920000484

Medical Identifiers

Medical identifiers for Dr Jack Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437111093NPI-NPPES
MD1643MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 1643 (Alaska)Primary

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 Jack 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 AddressPractice Location Address
Dr Jack Jacob, MD
3340 Providence Dr, Suite 366,
Anchorage, AK 99508-4616

Ph: (907) 563-3026
Dr Jack Jacob, MD
3340 Providence Dr, Suite 366,
Anchorage, AK 99508-4616

Ph: (907) 563-3026

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Pediatrics Doctors in Anchorage, AK

Elizabeth Mumford Galloway, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Providence Dr, Anchorage, AK 99508
Phone: 907-562-2211    Fax: 509-479-0214
Wendy Bailey, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3340 Providence Dr, Suite A-351, Anchorage, AK 99508
Phone: 907-212-4824    Fax: 907-212-4831
Jay D. Johnson, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508
Phone: 907-212-6900    
Dr. Stephen Scott Baker, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2841 Debarr Rd, Bldg A, Suite 23, Anchorage, AK 99508
Phone: 907-677-1864    Fax: 907-868-5167
Dr. Rachel Mauryce Kerford Lescher, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4320 Diplomacy Dr, Suite 2300, Anchorage, AK 99508
Phone: 907-729-1000    Fax: 907-729-5244
Dr. James Monroe Nesbitt Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Providence Dr, Administration Office, Anchorage, AK 99508
Phone: 907-261-5098    Fax: 907-743-2358
Dr. Emily Margaret Reilly, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508
Phone: 907-729-4068    

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