Dr Jacob Borgsmiller, DO - Medicare Family Practice in Shawnee, OK

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Dr Jacob Borgsmiller, DO is a medicare enrolled "Family Medicine" physician in Shawnee, Oklahoma. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Shawnee Medical Center Clinic, Inc., Saints Medical Group, Llc and his current practice location is 3315 Kethley Rd, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 273-5801.

Dr Jacob Borgsmiller is licensed to practice in Oklahoma (license number 6141) 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 1629518295.

Contact Information

Dr Jacob Borgsmiller, DO
3315 Kethley Rd,
Shawnee, OK 74804-9638
(405) 273-5801
(405) 878-3794

Map and Direction




Physician's Profile

Full NameDr Jacob Borgsmiller
GenderMale
SpecialityFamily Practice
Experience8 Years
Location3315 Kethley Rd, Shawnee, Oklahoma
Accepts Medicare AssignmentsYes. 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 Borgsmiller graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1629518295
  • Provider Enumeration Date: 03/02/2017
  • Last Update Date: 10/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042582363
  • Enrollment ID: I20190916002034

Medical Identifiers

Medical identifiers for Dr Jacob Borgsmiller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629518295NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0124R (Oklahoma)Secondary
207Q00000XFamily Medicine 6141 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elara Caring XxiiiAda, OKHome health agency
Ssm Health At Home Home Health - OklahomaOklahoma city, OKHome health agency
Ssm Health St Anthony Hospital - ShawneeShawnee, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shawnee Medical Center Clinic, Inc.387040543476
Saints Medical Group, Llc7012914898358

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 Borgsmiller allows following entities to bill medicare on his behalf.
Entity NameShawnee Medical Center Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881648285
PECOS PAC ID: 3870405434
Enrollment ID: O20031103000239
Entity NameSaints Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437195922
PECOS PAC ID: 7012914898
Enrollment ID: O20061109000189

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 Borgsmiller 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 AddressPractice Location Address
Dr Jacob Borgsmiller, DO
3315 Kethley Rd,
Shawnee, OK 74804-9638

Ph: (405) 273-5801		Dr Jacob Borgsmiller, DO
3315 Kethley Rd,
Shawnee, OK 74804-9638

Ph: (405) 273-5801

Reviews and Comments


Family Medicine Doctors in Shawnee, OK

Dr. David Lewis Hadley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1920 N Broadway Ave, Shawnee, OK 74804
Phone: 405-273-7879    Fax: 405-273-7885
Dr. Lara Del Mashek, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W Macarthur St, Shawnee, OK 74804
Phone: 405-273-2270    Fax: 405-878-3468
Dr. Monika Durska-keller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-878-5850    
Gaynell Schieber Anderson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W Macarthur St, Shawnee, OK 74804
Phone: 405-878-8110    Fax: 405-214-1551
Russell Craig Click, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3204 Medical Park Dr, Shawnee, OK 74804
Phone: 405-878-6800    Fax: 405-878-6831
Mitchell A Wolf, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3214 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3794
Michael William Goddard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 N Broadway Ave Ste 300, Shawnee, OK 74801
Phone: 405-395-0399    Fax: 405-395-0330

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.