Henry Eli Jacobs, MD in Bloomfield, CT - Medicare Obstetrics & Gynecology

Henry Eli Jacobs, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Bloomfield, Connecticut. His current practice location is 1 Northwestern Dr, Suite 202, Bloomfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 233-8589.

Henry Eli Jacobs is licensed to practice in Connecticut (license number 017368) 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 1356350789.

Contact Information

	Henry Eli Jacobs, MD
	1 Northwestern Dr, Suite 202, Bloomfield, CT 06002-3400
	(860) 233-8589
	(860) 236-9636

Physician's Profile

Full Name	Henry Eli Jacobs
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1 Northwestern Dr, Bloomfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356350789
Provider Enumeration Date: 08/05/2006
Last Update Date: 12/31/2020

Medicare PECOS Information:

PECOS PAC ID: 6103924923
Enrollment ID: I20070601000324

Medical Identifiers

Medical identifiers for Henry Eli Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356350789	NPI	-	NPPES
001173681	Medicaid	CT
01017368	Other	CT	CIGNA
0029111	Other	CT	AETNA US HEALTHCARE
052270	Other	CT	HEALTH NET
HAP255	Other	CT	OXFORD
010017368CT01	Other	CT	BLUE SHIELD
030810	Other	CT	CONNECTICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	017368 (Connecticut)	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. Henry Eli Jacobs 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
Henry Eli Jacobs, MD 1 Northwestern Dr, Suite 202, Bloomfield, CT 06002-3400 Ph: (860) 233-8589	Henry Eli Jacobs, MD 1 Northwestern Dr, Suite 202, Bloomfield, CT 06002-3400 Ph: (860) 233-8589

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Obstetrics & Gynecology Doctors in Bloomfield, CT

Raul Mendelovici, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002 Phone: 860-286-2996 Fax: 860-286-0862
Amal Das, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 580 Cottage Grove Rd, Ste 206, Bloomfield, CT 06002 Phone: 860-242-0774 Fax: 860-242-7444
Dr. Jane P Srinivasan, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 24 Seneca Rd, Bloomfield, CT 06002 Phone: 860-243-2997 Fax: 860-242-0819

Henry Eli Jacobs, MD - Medicare Obstetrics & Gynecology in Bloomfield, CT