Shibin Thomas Jacob, MD - Medicare Pulmonary Disease in Charlotte, NC

Shibin Thomas Jacob, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Charlotte, North Carolina. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Carolinas Medical Center and his current practice location is 101 E W T Harris Blvd, Bldg 5000 Suite #5101, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 863-5847.

Shibin Thomas Jacob is licensed to practice in North Carolina (license number 2009-01528) 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 1003867839.

Contact Information

Shibin Thomas Jacob, MD
101 E W T Harris Blvd, Bldg 5000 Suite #5101,
Charlotte, NC 28262-3485
(704) 863-5847
Not Available



Physician's Profile

Full NameShibin Thomas Jacob
GenderMale
SpecialityPulmonary Disease
Experience29 Years
Location101 E W T Harris Blvd, Charlotte, North Carolina
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:
  • Shibin Thomas Jacob graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1003867839
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476691197
  • Enrollment ID: I20091117000308

Medical Identifiers

Medical identifiers for Shibin Thomas Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003867839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2009-01528 (North Carolina)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 2009-01528 (North Carolina)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 2009-01528 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Health University CityCharlotte, NCHospital
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Medical Center4789597477735

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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. Shibin Thomas Jacob allows following entities to bill medicare on his behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116

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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. Shibin Thomas 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
Shibin Thomas Jacob, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Shibin Thomas Jacob, MD
101 E W T Harris Blvd, Bldg 5000 Suite #5101,
Charlotte, NC 28262-3485

Ph: (704) 863-5847

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Internal Medicine Doctors in Charlotte, NC

Dr. Anish Kaushik Vani, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204
Phone: 704-343-9800    Fax: 704-347-2011
John Michael Fedor, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204
Phone: 704-373-0212    
Dr. Michael Warren Smith, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 6115 Park South Dr Ste 100, Charlotte, NC 28210
Phone: 704-554-8787    Fax: 704-554-8774
William Lane Jr., MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1350 S Kings Dr, Charlotte, NC 28207
Phone: 704-446-4490    
Dr. Alagusivakumari Rameshbabu, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10648 Park Rd, Charlotte, NC 28210
Phone: 704-667-8050    
Oscar Sven Brann, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287
Phone: 704-489-3094    

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