MEGAN ELLIOTT JACOBY
NPI 1992054605
Student in an Organized Health Care Education/Training Program in Berkeley, CA

NPI Status: Active since September 10, 2012

Contact Information

2712 TELEGRAPH AVE
BERKELEY, CA
ZIP 94705
Phone: (510) 548-8283

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • Opted-Out Medicare

About MEGAN JACOBY

This page provides the complete NPI Profile along with additional information for Megan Jacoby, a primary care provider established in Berkeley, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1992054605 assigned on September 2012. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1992054605
Provider Name
MEGAN ELLIOTT JACOBY
Gender
Female
Entity Type
Individual
Location Address
2712 TELEGRAPH AVE BERKELEY, CA 94705
Location Phone
(510) 548-8283
Mailing Address
2245 CENTRAL AVE ALAMEDA, CA 94501
Mailing Phone
(612) 518-2998
Is Sole Proprietor?
Yes
Enumeration Date
09-10-2012
Last Update Date
09-10-2012
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A primary care provider (PCP) like Megan Jacoby sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Megan Jacoby opted out of Medicare effective on 05-01-2024 until 05-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-01-2024

  • Opt-Out End Date: 05-01-2026

  • Eligible to Order and Refer? No

Reviews for MEGAN ELLIOTT JACOBY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992054605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918205860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 0 + 5 + 8 + 6 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1992054605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467651109MS. VICTORIA FOWLER
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1982804647MR. HOWARD M. CURTIS M.A., MFT INTERN
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 521-8720
1831382084 HOLLY E SCHNEIDER M.A.
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1346470077MS. FELICIA LORENA ORTIZ JD
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1265662993 HEIDI DENKERS
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1851522189MR. WENXU XU MA
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1578884375MR. SOLOMON EDWARD HUTCHINGS MA
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1356662159 MACY MINOR
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1750602553MS. ELENA FABBRI MA
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1346558319 DOROTHY KAUFMANN
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1487949764MR. JOHN CHARLES SANDERS
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1851673149 SARAH PULLMAN
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1023390218MS. KATHLEEN HELEN HALEY
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 558-8283
1740562933 ANNE MARIE DANNENBERG PH.D.
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1750663043 CATHERINE DIREEN
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1669793469 ELIZABETH B. CLEVES
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1790023885MS. KATHERINE MARIE JONES
Individual
Marriage & Family Therapist2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1225476138MS. ASHLEY MORGAN MATHIS
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE PACIFIC CENTER FOR HUMAN GROWTH
BERKELEY, CA 94705
(510) 548-8283
1134313059 SUZANNE SHERMAN MFT-INTERN
Individual
Counselor (Mental Health)2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283
1164858676MR. DANIEL BAUMAN
Individual
Student in an Organized Health Care Education/Training Program2712 TELEGRAPH AVE
BERKELEY, CA 94705
(510) 548-8283

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992054605, enumerated in the NPI registry as an "individual" on September 10, 2012

The provider is located at 2712 Telegraph Ave Berkeley, Ca 94705 and the phone number is (510) 548-8283

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

No, the provider signed an affidavit on May 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 01, 2026.

This NPI record was last updated on September 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.