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Dr. Jack F Jacoub

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jack F Jacoub
Gender: M
Provider License Number If Given: A79623

NPI Information:

NPI: 1528016318
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/4/2006

Last Update Date: 5/26/2021

Reputation Report:

Provider Business Mailing Address:

Address: 18111 BROOKHURST ST STE 6100
Fountain Valley, CA 92708
Phone Number: 7143787330
Fax Number: 7143770003

Provider Business Practice Location Address:

Address: 18111 BROOKHURST ST STE 6100
Fountain Valley, CA 92708
Phone Number: 7143787330
Fax Number: 7143770003

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any): 207RH0003X
State: CA

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About Dr. Jack F Jacoub

Dr. Jack F Jacoub (DR. JACK F JACOUB ) is A Internal Medicine Physician in Fountain Valley, CA. The NPI Number for Dr. Jack F Jacoub is 1528016318.
The current location address for Dr. Jack F Jacoub is 18111 BROOKHURST ST STE 6100 Fountain Valley, CA 92708 and the contact number is 7143787330 and fax number is 7143770003. The mailing address for Dr. Jack F Jacoub is 18111 BROOKHURST ST STE 6100 Fountain Valley, CA 92708- 7143787330 (mailing address contact number - 7143787330).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jack F Jacoub ?


Answer: The NPI Number for Dr. Jack F Jacoub is 1528016318

Where is Dr. Jack F Jacoub located?


Answer: Dr. Jack F Jacoub is located at 18111 BROOKHURST ST STE 6100 Fountain Valley, CA 92708.

What is the specialty for Dr. Jack F Jacoub ?


Answer: The Specialty of Dr. Jack F Jacoub is A Internal Medicine Physician.

Are there any online reviews for Dr. Jack F Jacoub ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fountain Valley, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jack F Jacoub

Number of HCPCS 116
Number of Medicare Beneficiaries 323
Number of Services 86421
Total Submitted Charge Amount 3168664.72
Total Medicare Allowed Amount 1345803.81
Total Medicare Payment Amount 1067583.56
Total Medicare Standardized Payment Amount 1031512.44
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 76
Number of Medicare Beneficiaries With Drug Services 130
Number of Drug Services 81726
Total Drug Submitted Charge Amount 2804493.43
Total Drug Medicare Allowed Amount 1175598.8
Total Drug Medicare Payment Amount 936782.8
Total Drug Medicare Standardized Payment Amount 918110.57
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 40
Number of Medicare Beneficiaries With Medical 323
Number of Medical Services 4695
Total Medical Submitted Charge Amount 364171.29
Total Medical Medicare Allowed Amount 170205.01
Total Medical Medicare Payment Amount 130800.76
Total Medical Medicare Standardized Payment Amount 113401.87
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 14
Number of Beneficiaries Age 65 to 74 143
Number of Beneficiaries Age 75 to 84 119
Number of Beneficiaries Age Greater 84 47
Number of Female Beneficiaries 200
Number of Male Beneficiaries 123
Number of Non-Hispanic White Beneficiaries 246
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 41
Number of Hispanic Beneficiaries 22
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 62
Number of Beneficiaries With Medicare Only Entitlement 261
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.11
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.45
Percent (%) of Beneficiaries Identified With Heart Failure 0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.42
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.16
Percent (%) of Beneficiaries Identified With Depression 0.24
Percent (%) of Beneficiaries Identified With Diabetes 0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.62
Percent (%) of Beneficiaries Identified With Hypertension 0.63
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.3
Percent (%) of Beneficiaries Identified With Osteoporosis 0.19
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.8998

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Hematology-Oncology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1451
Number of Standardized 30-Day Fills 2051.0333333
Aggregate Cost Paid for All Claims 6336480.07
Number of Day's Supply for All Claims 55560
Number of Medicare Beneficiaries 217
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1401
Including Refills, for Beneficiaries Age 65+ 1993.0333333
Beneficiaries Age 65+ 6108112.83
Number of Day's Supply for All Claims for Beneficaries Age 65+ 53892
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 798
Aggregate Cost Paid for Generic Drugs 564284.4
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 697
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 2811375.78
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 754
Aggregate Cost Paid for Claims Filled by 3525104.29
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 394
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 2173880.99
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 1057
by Low-Income Subsidy 4162599.08
Total Claims of Opioid Drugs, Including 20
Aggregate Cost Paid for Opioid Drugs 413.31
Opioid Claims 19
Opioid_Tot_Clms divided by the Tot_Clms 1.3783597519
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 23
Aggregate Cost Paid for Antibiotic Drugs 323.19
Antibiotic Claims 13
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 75.576036866
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 130
Number of Male Beneficiaries 87
Number of Non-Hispanic White 147
Number of Black or African American
Number of Asian Pacific Islander 30
Number of Hispanic Beneficiaries 29
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 177
Average Hierarchical Condition Category 2.4454951674

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