Dr Jacob B Pugsley, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Brigham City, Utah. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Alpine Management And Consulting, Northern Utah Medical Supply Llc, Alpine Management And Consulting, Northern Utah Medical Supply Llc and his current practice location is
1030 Medical Dr Ste A, Brigham City, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 723-9704.
Dr Jacob B Pugsley is licensed to practice in Indiana (license number 02003149A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902065824.
Physician's Profile
Full Name | Dr Jacob B Pugsley |
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Gender | Male |
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Speciality | Physical Medicine And Rehabilitation |
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Experience | 19 Years |
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Location | 1030 Medical Dr Ste A, Brigham City, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jacob B Pugsley graduated from medical school in 2005
NPI Data:
- NPI Number: 1902065824
- Provider Enumeration Date: 06/05/2008
- Last Update Date: 12/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 7618029331
- Enrollment ID: I20090710000112
Medical Identifiers
Medical identifiers for Dr Jacob B Pugsley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902065824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 02003149A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Alpine Management And Consulting | 5496659245 | 25 |
Northern Utah Medical Supply Llc | 7517349434 | 2 |
Alpine Management And Consulting | 5496659245 | 25 |
Northern Utah Medical Supply Llc | 7517349434 | 2 |
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. Dr Jacob B Pugsley allows following entities to bill medicare on his behalf.
Entity Name | Alpine Management And Consulting |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427184449 PECOS PAC ID: 5496659245 Enrollment ID: O20031122000068 |
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Entity Name | Northern Utah Medical Supply Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912649609 PECOS PAC ID: 7517349434 Enrollment ID: O20220810000530 |
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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. Dr Jacob B Pugsley 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 |
Dr Jacob B Pugsley, DO 1130 South Medical Drive Ste A, Brigham City, UT 84302-3050 Ph: (435) 723-9704 | Dr Jacob B Pugsley, DO 1030 Medical Dr Ste A, Brigham City, UT 84302-3050 Ph: (435) 723-9704 |
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