Andre Jack Jacobsen, in Anchorage, AK - Medicare Anesthesiology

Andre Jack Jacobsen, is a medicare enrolled "Anesthesiology" physician in Anchorage, Alaska. His current practice location is 3300 Providence Dr Ste 205, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 561-1510.

Andre Jack Jacobsen is licensed to practice in Alaska (license number 200882) 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 1629574223.

Contact Information

	Andre Jack Jacobsen,
	3300 Providence Dr Ste 205, Anchorage, AK 99508-4620
	(907) 561-1510
	Not Available

Map and Direction

Physician's Profile

Full Name	Andre Jack Jacobsen
Gender	Male
Speciality	Anesthesiology
Location	3300 Providence Dr Ste 205, Anchorage, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629574223
Provider Enumeration Date: 04/03/2018
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3476907924
Enrollment ID: I20231002002961

Medical Identifiers

Medical identifiers for Andre Jack Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629574223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	200882 (Alaska)	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. Andre Jack Jacobsen allows following entities to bill medicare on his behalf.

Entity Name	Providence Anchorage Anesthesia Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659368397 PECOS PAC ID: 2163414830 Enrollment ID: O20040401000952

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. Andre Jack Jacobsen 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
Andre Jack Jacobsen, 3300 Providence Dr Ste 205, Anchorage, AK 99508-4620 Ph: (907) 561-1510	Andre Jack Jacobsen, 3300 Providence Dr Ste 205, Anchorage, AK 99508-4620 Ph: (907) 561-1510

Reviews and Comments

Anesthesiology Doctors in Anchorage, AK

Colby Parks, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Providence Anchorage Anesthesia Medical Group, P.c., Suite 207, Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140
Thomas Weissmueller, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Providence Dr Ste 205, Anchorage, AK 99508 Phone: 907-561-1510
Robert C Gudor, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2801 Debarr Rd, Anchorage, AK 99508 Phone: 907-258-2149 Fax: 907-258-2147
Richard F Farah, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3300 Providence Dr, Suite 207, Providence Anchorage Anesthesia Medical Grou, Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140
Stephen Roberts, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662
Katharine Lamperti, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3300 Providence Dr., Suite 207, Providence Anchorage Anesthesia Medical Group, P.c., Anchorage, AK 99508 Phone: 907-561-0005 Fax: 907-563-9140
Harold W Schneider, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-563-2662

Andre Jack Jacobsen, - Medicare Anesthesiology in Anchorage, AK