Dr Kevin Sean Jacob, OD in Dry Ridge, KY - Medicare Optometry Provider

Dr Kevin Sean Jacob, OD is a medicare enrolled "Optometrist" provider in Dry Ridge, Kentucky. He went to Indiana University - School Of Optometry and graduated in 1997 and has 27 years of diverse experience with area of expertise as Optometry. His current practice location is 20 Ferguson Blvd, Dry Ridge, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 824-1333.

Dr Kevin Sean Jacob is licensed to practice in Kentucky (license number 1458DT) 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 1124173521.

Contact Information

	Dr Kevin Sean Jacob, OD
	20 Ferguson Blvd, Dry Ridge, KY 41035-8635
	(859) 824-1333
	Not Available

Healthcare Provider's Profile

Full Name	Dr Kevin Sean Jacob
Gender	Male
Speciality	Optometry
Experience	27 Years
Location	20 Ferguson Blvd, Dry Ridge, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kevin Sean Jacob attended and graduated from Indiana University - School Of Optometry in 1997

NPI Data:

NPI Number: 1124173521
Provider Enumeration Date: 01/24/2007
Last Update Date: 11/04/2019

Medicare PECOS Information:

PECOS PAC ID: 2062548076
Enrollment ID: I20100330000189

Medical Identifiers

Medical identifiers for Dr Kevin Sean Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124173521	NPI	-	NPPES
77001535	Medicaid	KY
000001186679	Other	KY	CHA
000000255312	Other	KY	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1458DT (Kentucky)	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. Dr Kevin Sean 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
Dr Kevin Sean Jacob, OD 9100 Brantley Way, Florence, KY 41042-8684 Ph: (859) 384-7646	Dr Kevin Sean Jacob, OD 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 Ph: (859) 824-1333

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Optometrist in Dry Ridge, KY

Vision One Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1114 Fashion Ridge Rd, Dry Ridge, KY 41035 Phone: 859-824-4415 Fax: 859-824-4497
Jacob Family Eyecare, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20 Ferguson Blvd, Dry Ridge, KY 41035 Phone: 859-824-1333 Fax: 859-824-1300
Dr. Stephanie Jacob, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20 Ferguson Blvd, Dry Ridge, KY 41035 Phone: 859-824-1333

Dr Kevin Sean Jacob, OD - Medicare Optometrist in Dry Ridge, KY