Dr Amy Jacobson, AUD is a medicare enrolled "Audiologist" provider in Ashland, Wisconsin. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Qualified Audiologist. Her current practice location is
1901 Beaser Ave, Ashland, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 682-9311.
Dr Amy Jacobson is licensed to practice in Wisconsin (license number 591-156) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134532245.
Healthcare Provider's Profile
| Full Name | Dr Amy Jacobson |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 10 Years |
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| Location | 1901 Beaser Ave, Ashland, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Amy Jacobson graduated from medical school in 2014
NPI Data:
- NPI Number: 1134532245
- Provider Enumeration Date: 06/05/2014
- Last Update Date: 06/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698999357
- Enrollment ID: I20140619001161
Medical Identifiers
Medical identifiers for Dr Amy Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134532245 | NPI | - | NPPES |
| 1134532245 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231HA2400X | Audiologist - Assistive Technology Practitioner | 591-156 (Wisconsin) | Secondary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | 591-156 (Wisconsin) | Secondary |
| 231H00000X | Audiologist | 591-156 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Amy Jacobson allows following entities to bill medicare on her behalf.
| Provider Name | Amy Jacobson Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174107288
PECOS PAC ID: 0648688507
Enrollment ID: O20210602000344 |
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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 Amy Jacobson 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 Amy Jacobson, AUD
1901 Beaser Ave,
Ashland, WI 54806-3604
Ph: (715) 682-9311 | Dr Amy Jacobson, AUD
1901 Beaser Ave,
Ashland, WI 54806-3604
Ph: (715) 682-9311 |
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