Tony Jacob, PA-C in Paramus, NJ - Medicare Physician Assistant

Tony Jacob, PA-C is a medicare enrolled "Physician Assistant" in Paramus, New Jersey. His current practice location is 205 Homestead Rd, Paramus, New Jersey. You can reach out to his office (for appointments etc.) via phone at (516) 587-3406.

Tony Jacob is licensed to practice in New Jersey (license number 25MP00294500) 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 1396096236.

Contact Information

	Tony Jacob, PA-C
	205 Homestead Rd, Paramus, NJ 07652-4709
	(516) 587-3406
	Not Available

Provider's Profile

Full Name	Tony Jacob
Gender	Male
Speciality	Physician Assistant
Location	205 Homestead Rd, Paramus, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396096236
Provider Enumeration Date: 10/01/2012
Last Update Date: 06/03/2016

Medicare PECOS Information:

PECOS PAC ID: 8729219761
Enrollment ID: I20140315000319

Medical Identifiers

Medical identifiers for Tony Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396096236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00294500 (New Jersey)	Primary
363A00000X	Physician Assistant	015918 (New York)	Secondary

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. Tony 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 Address	Practice Location Address
Tony Jacob, PA-C 205 Homestead Rd, Paramus, NJ 07652-4709 Ph: () -	Tony Jacob, PA-C 205 Homestead Rd, Paramus, NJ 07652-4709 Ph: (516) 587-3406

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Tony Jacob, PA-C - Medicare Physician Assistant in Paramus, NJ