Dr Mark Kevin Jacob, MD - Medicare Critical Care (intensivists) in Alma, MI

Dr Mark Kevin Jacob, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Alma, Michigan. He went to Wayne State University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Bronson Methodist Hospital, Bronson Battle Creek Hospital, Lakeland Medical Practices, Swedishamerican Hospital and his current practice location is 300 E Warwick Dr, Alma, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 774-1101.

Dr Mark Kevin Jacob is licensed to practice in North Carolina (license number 2011-01117) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063688497.

Contact Information

Dr Mark Kevin Jacob, MD
300 E Warwick Dr,
Alma, MI 48801-1014
(989) 774-1101
Not Available



Physician's Profile

Full NameDr Mark Kevin Jacob
GenderMale
SpecialityCritical Care (intensivists)
Experience19 Years
Location300 E Warwick Dr, Alma, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Kevin Jacob attended and graduated from Wayne State University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1063688497
  • Provider Enumeration Date: 05/06/2008
  • Last Update Date: 01/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486827011
  • Enrollment ID: I20180626003693

Medical Identifiers

Medical identifiers for Dr Mark Kevin Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063688497NPI-NPPES
1653FOtherNCBCBSNC
5919082MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301086585 (Michigan)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 036.161882 (Illinois)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 04-331614 (Kansas)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 04-331614 (Kansas)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 2011-01117 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish American HospitalRockford, ILHospital
Bronson Methodist HospitalKalamazoo, MIHospital
Lakeland Hospital, St JosephSt joseph, MIHospital
Bronson Battle Creek HospitalBattle creek, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bronson Methodist Hospital0244148633598
Bronson Battle Creek Hospital0547173478157
Lakeland Medical Practices1658427042274
Swedishamerican Hospital5799698346273

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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 Mark Kevin Jacob allows following entities to bill medicare on his behalf.
Entity NameBronson Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417961137
PECOS PAC ID: 0244148633
Enrollment ID: O20031208000832

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Entity NameMymichigan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740230127
PECOS PAC ID: 4981501939
Enrollment ID: O20040126000905

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Entity NameBronson Battle Creek Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093119638
PECOS PAC ID: 0547173478
Enrollment ID: O20041103000774

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Entity NameLakeland Medical Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216

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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 Mark Kevin 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 Mark Kevin Jacob, MD
160 Allen St, Medical Staff Office,
Rutland, VT 05701-4560

Ph: (913) 909-7400
Dr Mark Kevin Jacob, MD
300 E Warwick Dr,
Alma, MI 48801-1014

Ph: (989) 774-1101

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Internal Medicine Doctors in Alma, MI

Dr. Sudeep Mohan, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Warwick Dr, Suite E, Alma, MI 48801
Phone: 989-466-2877    Fax: 989-466-5116
Dr. Jeanine Ernest, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 200 E Warwick Dr, Alma, MI 48801
Phone: 989-463-5876    Fax: 989-466-5956
Abraham Krepostman, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Warwick Dr, Suite E, Alma, MI 48801
Phone: 989-463-0672    Fax: 989-466-5116
Mr. Farid Faraj Zayed, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 160 E Warwick Dr, Alma, MI 48801
Phone: 989-466-3621    Fax: 989-466-3643
Radwan Alkiek, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 160 E Warwick Dr, Alma, MI 48801
Phone: 855-466-3621    Fax: 989-466-3643
Tamara Kurbanova, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 300 E Warwick Dr, Alma, MI 48801
Phone: 989-839-1644    

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