Dr Sanjivini Vishwas Jacob, M D - Medicare Pathology in Chattanooga, TN

Dr Sanjivini Vishwas Jacob, M D is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Chattanooga, Tennessee. She graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Restoration Recovery Pllc and her current practice location is 6141 Shallowford Rd Ste 100, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 498-2000.

Dr Sanjivini Vishwas Jacob is licensed to practice in Tennessee (license number 044848) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629234521.

Contact Information

Dr Sanjivini Vishwas Jacob, M D
6141 Shallowford Rd Ste 100,
Chattanooga, TN 37421-1663
(423) 498-2000
(423) 498-2001



Physician's Profile

Full NameDr Sanjivini Vishwas Jacob
GenderFemale
SpecialityPathology
Experience43 Years
Location6141 Shallowford Rd Ste 100, Chattanooga, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sanjivini Vishwas Jacob graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1629234521
  • Provider Enumeration Date: 07/31/2008
  • Last Update Date: 07/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729149794
  • Enrollment ID: I20200219000135

Medical Identifiers

Medical identifiers for Dr Sanjivini Vishwas Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629234521NPI-NPPES
Q047258MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0300XPreventive Medicine - Addiction Medicine 044848 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Restoration Recovery Pllc29617774466

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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 Sanjivini Vishwas Jacob allows following entities to bill medicare on her behalf.
Entity NameRestoration Recovery Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770011652
PECOS PAC ID: 2961777446
Enrollment ID: O20171010000530

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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 Sanjivini Vishwas 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 Sanjivini Vishwas Jacob, M D
6141 Shallowford Rd Ste 100,
Chattanooga, TN 37421-1663

Ph: (423) 498-2000
Dr Sanjivini Vishwas Jacob, M D
6141 Shallowford Rd Ste 100,
Chattanooga, TN 37421-1663

Ph: (423) 498-2000

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Preventive Medicine Doctors in Chattanooga, TN

Mr. Donald H. Watters, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6141 Shallowford Rd Ste 100, Chattanooga, TN 37421
Phone: 423-498-2000    Fax: 423-498-2001
Laura J Goodman,
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 921 E 3rd St, Chattanooga, TN 37403
Phone: 423-209-8350    
Dr. Janelle M Beville, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402
Phone: 423-634-5887    Fax: 423-634-3139
Dr. Mckinley Snipes Lundy Sr., D.O.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412
Phone: 423-553-9675    Fax: 423-553-9677
Dr. Jacqulyn Mayre Diggs, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4136 Mountain View Rd, Chattanooga, TN 37415
Phone: 423-876-0725    
Stephen M Adams, MD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 2525 Desales Ave, Chattanooga, TN 37404
Phone: 423-778-8837    Fax: 423-495-4318

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