Shancy Jacob, DO - Medicare Nephrology in Galveston, TX

Shancy Jacob, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Galveston, Texas. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice University Of Texas Medical Branch Faculty Group Practice and her current practice location is 301 University Blvd, 4.200 John Sealy Annex, Galveston, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 772-1811.

Shancy Jacob is licensed to practice in Texas (license number P2010) 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 1194031641.

Contact Information

Shancy Jacob, DO
301 University Blvd, 4.200 John Sealy Annex,
Galveston, TX 77555-0562
(409) 772-1811
Not Available



Physician's Profile

Full NameShancy Jacob
GenderFemale
SpecialityNephrology
Experience15 Years
Location301 University Blvd, Galveston, Texas
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:
  • Shancy Jacob graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1194031641
  • Provider Enumeration Date: 08/22/2010
  • Last Update Date: 08/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1254654544
  • Enrollment ID: I20141217001031

Medical Identifiers

Medical identifiers for Shancy Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194031641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology P2010 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Island DialysisGalveston, TXDialysis facility
University Of Texas Medical Branch GalvestonGalveston, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Texas Medical Branch Faculty Group Practice3375456734875

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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. Shancy Jacob allows following entities to bill medicare on her behalf.
Entity NameUtmb Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438

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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. Shancy 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
Shancy Jacob, DO
301 University Blvd, 4.200 John Sealy Annex,
Galveston, TX 77555-0562

Ph: (409) 772-1811
Shancy Jacob, DO
301 University Blvd, 4.200 John Sealy Annex,
Galveston, TX 77555-0562

Ph: (409) 772-1811

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Internal Medicine Doctors in Galveston, TX

Dr. James Harold Pavela, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 301 University Blvd, Galveston, TX 77555
Phone: 409-772-7063    Fax: 409-747-8579
Diaa Hamouda, MBBCH
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 301 University Blvd, Jsa 9.128, Galveston, TX 77555
Phone: 409-772-8031    Fax: 409-772-6940
Syed Mustajab Hasan, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 1005 Harborside Drive, Galveston, TX 77555
Phone: 409-762-2328    Fax: 832-632-7866
Arielle Degueure, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 301 University Blvd, Galveston, TX 77555
Phone: 409-747-1883    Fax: 409-747-8579
Dr. Shawn Pua Eiko Nishi, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 301 University Blvd, Galveston, TX 77555
Phone: 409-643-4587    
Suyuan Tan,
Nephrology
Medicare: Medicare Enrolled
Practice Location: 301 University Blvd, Galveston, TX 77555
Phone: 409-747-1883    
Shahzad Jokhio, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 301 University Blvd, Galveston, TX 77555
Phone: 409-722-2222    

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