Chad Thomas Jacobsen, MD in Charlotte, NC

Chad Thomas Jacobsen, MD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Charlotte, North Carolina. His current practice location is 1350 S Kings Dr, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 446-1422.

Chad Thomas Jacobsen is licensed to practice in North Carolina (license number 2008-02008) 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 1649292095.

Contact Information

	Chad Thomas Jacobsen, MD
	1350 S Kings Dr, Charlotte, NC 28207-2134
	(704) 446-1422
	Not Available

Map and Direction

Physician's Profile

Full Name	Chad Thomas Jacobsen
Gender	Male
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	1350 S Kings Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649292095
Provider Enumeration Date: 07/24/2006
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1850333451
Enrollment ID: I20090112000525

Medical Identifiers

Medical identifiers for Chad Thomas Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649292095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2008-02008 (North Carolina)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	2008-02008 (North Carolina)	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. Chad Thomas Jacobsen allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

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. Chad Thomas 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
Chad Thomas Jacobsen, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Chad Thomas Jacobsen, MD 1350 S Kings Dr, Charlotte, NC 28207-2134 Ph: (704) 446-1422

Reviews and Comments

Pediatrics Doctors in Charlotte, NC

Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905
Donald Shelton Chapman Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 231 S Sharon Amity Rd, Charlotte, NC 28211 Phone: 704-304-6400

Chad Thomas Jacobsen, MD - Medicare Pediatrics in Charlotte, NC