Michael Jacob, in Saint Cloud, MN - Medicare Counselor Provider

Michael Jacob, is a medicare enrolled "Counselor - Mental Health" provider in Saint Cloud, Minnesota. His current practice location is 3400 1st St N Ste 101, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 268-5858.

Michael Jacob is licensed to practice in Minnesota (license number 4331) 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 1336907575.

Contact Information

	Michael Jacob,
	3400 1st St N Ste 101, Saint Cloud, MN 56303-1924
	(612) 268-5858
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Jacob
Gender	Male
Speciality	Counselor - Mental Health
Location	3400 1st St N Ste 101, Saint Cloud, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336907575
Provider Enumeration Date: 03/12/2024
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6002257557
Enrollment ID: I20240515000209

Medical Identifiers

Medical identifiers for Michael Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336907575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	4331 (Minnesota)	Secondary
101YM0800X	Counselor - Mental Health	4331 (Minnesota)	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. Michael Jacob allows following entities to bill medicare on his behalf.

Entity Name	Affinity Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363

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. Michael Jacob 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
Michael Jacob, 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: () -	Michael Jacob, 3400 1st St N Ste 101, Saint Cloud, MN 56303-1924 Ph: (612) 268-5858

Reviews and Comments

Counselor in Saint Cloud, MN

Emmanuel Oppong, Counselor Medicare: Medicare Enrolled Practice Location: 22 Wilson Ave Ne Ste 209, Saint Cloud, MN 56304 Phone: 320-237-6996
Billy M Anderson, LICSW LADC Counselor Medicare: Medicare Enrolled Practice Location: 22 Wilson Ave Ne, 209, Saint Cloud, MN 56304 Phone: 320-259-7706 Fax: 320-251-4590
Benedict A Walz, MS MDV MAC LADC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3333 W Division St, Midtown Square Suite # 210, Saint Cloud, MN 56301 Phone: 320-252-5781 Fax: 320-252-5001
Tonya Sharon Klug, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 13th St N, Saint Cloud, MN 56303 Phone: 320-252-5010 Fax: 320-203-1855
Hamdi Mahat Sirat, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 952-212-0358
Nasro Aden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 612-707-7530
Laylo Salad Guled, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2719 W Division St Ste 5, Saint Cloud, MN 56301 Phone: 952-212-0358

Michael Jacob, - Medicare Counselor in Saint Cloud, MN