JACOB DEMENNA MD
NPI 1962856088
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

Q: What is Jacob Demenna's NPI number?

The NPI number for Jacob Demenna is 1962856088. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Q: What is Jacob Demenna's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Demenna was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment

5102 W CAMPBELL AVE, PHOENIX, AZ 85031(602) 344-5011 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Jacob Demenna Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB DEMENNA MD (NPI 1962856088) is an individual psychiatry provider in Phoenix, Arizona, licensed in Arizona (54941) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2016).

NPPES Registry Identity

NPI1962856088

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJACOB DEMENNACredential: MD

Location Address5102 W CAMPBELL AVEPhoenix, AZ 85031-1703

Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5000 · Fax (602) 470-5064

Phone(602) 344-5011

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2016

Enumeration DateApril 14, 2016

Last NPPES UpdateApril 27, 2020

NPPES CertifiedApril 27, 2020

✔ NPI 1962856088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AZ · 54941

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

5102 W CAMPBELL AVE, Phoenix, AZ 85031

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Demenna Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335409150

PECOS Enrollment IDI20180215001803

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATE M GILLPATRICK DO

Psychiatry & Neurology (Psychiatry)