Casey Jacobson, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Bay Shore, New York. His current practice location is
301 E Main St, Bay Shore, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 968-3000.
Casey Jacobson is licensed to practice in New York (license number 029759) 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 1144921743.
Physician's Profile
Full Name | Casey Jacobson |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 301 E Main St, Bay Shore, New York |
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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: 1144921743
- Provider Enumeration Date: 03/13/2023
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234504259
- Enrollment ID: I20230405001057
Medical Identifiers
Medical identifiers for Casey Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144921743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0200X | Internal Medicine - Critical Care Medicine | 029759 (New York) | Secondary |
363AM0700X | Physician Assistant - Medical | 029759 (New York) | 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. Casey 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 |
Casey Jacobson, PA-C 113 Truxton Rd, Dix Hills, NY 11746-6827 Ph: (631) 972-4952 | Casey Jacobson, PA-C 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3000 |
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