Jacob Lambertsen, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Winston Salem, North Carolina. His current practice location is
1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 716-4490.
Jacob Lambertsen is licensed to practice in * (Not Available) (license number ) 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 1720524077.
Healthcare Provider's Profile
Full Name | Jacob Lambertsen |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1 Medical Center Blvd, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720524077
- Provider Enumeration Date: 01/10/2017
- Last Update Date: 04/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577945377
- Enrollment ID: I20220726002364
Medical Identifiers
Medical identifiers for Jacob Lambertsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720524077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jacob Lambertsen 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 |
Jacob Lambertsen, MD 6013 S Redwood Rd, Taylorsville, UT 84123-5220 Ph: (801) 255-5131 | Jacob Lambertsen, MD 1 Medical Center Blvd, Winston Salem, NC 27157-5220 Ph: (336) 716-4490 |
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