Dr Cory D Jacobs, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Minnetonka, Minnesota. His current practice location is
5435 Feltl Rd, Minnetonka, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 835-9880.
Dr Cory D Jacobs is licensed to practice in Minnesota (license number 12171) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205866894.
Healthcare Provider's Profile
| Full Name | Dr Cory D Jacobs |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 5435 Feltl Rd, Minnetonka, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1205866894
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 05/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 1153335344
- Enrollment ID: I20160818002743
Medical Identifiers
Medical identifiers for Dr Cory D Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205866894 | NPI | - | NPPES |
| 1205866894 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 4744 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 12171 (Minnesota) | 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 Cory D Jacobs 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 Cory D Jacobs, DC, PA-C
5435 Feltl Rd,
Minnetonka, MN 55343-7983
Ph: (952) 835-9880 | Dr Cory D Jacobs, DC, PA-C
5435 Feltl Rd,
Minnetonka, MN 55343-7983
Ph: (952) 835-9880 |
Reviews and Comments