Kristen Jacobs, MD - Medicare Pathology in South Bend, IN

Kristen Jacobs, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in South Bend, Indiana. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Pathology. She is a member of the group practice South Bend Medical Foundation Inc, South Bend Medical Foundation Inc and her current practice location is 3355 Douglas Rd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 234-4176.

Kristen Jacobs is licensed to practice in Indiana (license number 01037063) 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 1962594929.

Contact Information

Kristen Jacobs, MD
3355 Douglas Rd,
South Bend, IN 46635-1779
(574) 234-4176
Not Available



Physician's Profile

Full NameKristen Jacobs
GenderFemale
SpecialityPathology
Experience40 Years
Location3355 Douglas Rd, South Bend, Indiana
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:
  • Kristen Jacobs attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1984
  NPI Data:
  • NPI Number: 1962594929
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 01/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416146022
  • Enrollment ID: I20110113000384

Medical Identifiers

Medical identifiers for Kristen Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962594929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 4301055183 (Michigan)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 01037063 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Elkhart General HospitalElkhart, INHospital
Borgess Medical CenterKalamazoo, MIHospital
Saint Joseph Regional Medical CenterMishawaka, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Bend Medical Foundation Inc397141134913
South Bend Medical Foundation Inc397141134913

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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. Kristen Jacobs allows following entities to bill medicare on her behalf.
Entity NameSouth Bend Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649241084
PECOS PAC ID: 3971411349
Enrollment ID: O20050119000195

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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. Kristen 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 AddressPractice Location Address
Kristen Jacobs, MD
3355 Douglas Rd,
South Bend, IN 46635-1779

Ph: (574) 234-4176
Kristen Jacobs, MD
3355 Douglas Rd,
South Bend, IN 46635-1779

Ph: (574) 234-4176

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Pathology Doctors in South Bend, IN

Bobbie Sutton, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Luis Galup, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
James Dyer, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Joseph Prahlow, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Nicole Anest, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Fred Busse, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Odeta Lapkus, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561

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