Dr Jacob Cooper Deweerth, MD - Medicare Anesthesiology in Minneapolis, MN

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Dr Jacob Cooper Deweerth, MD is a medicare enrolled "Anesthesiology" physician in Minneapolis, Minnesota. His current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 672-6000.

Dr Jacob Cooper Deweerth is licensed to practice in Minnesota (license number 65497) 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 1306265582.

Contact Information

Dr Jacob Cooper Deweerth, MD
2450 Riverside Ave,
Minneapolis, MN 55454-1450
(612) 672-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob Cooper Deweerth
GenderMale
SpecialityAnesthesiology
Location2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306265582
  • Provider Enumeration Date: 04/15/2014
  • Last Update Date: 07/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3173826104
  • Enrollment ID: I20190618001845

Medical Identifiers

Medical identifiers for Dr Jacob Cooper Deweerth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306265582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP2900XAnesthesiology - Pain Medicine 65497 (Minnesota)Secondary
207L00000XAnesthesiology 65497 (Minnesota)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. Dr Jacob Cooper Deweerth allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameUniversity Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699711143
PECOS PAC ID: 7315986064
Enrollment ID: O20050502000881
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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 Cooper Deweerth 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 Cooper Deweerth, MD
420 Delaware Street Se, B515 Mayo Memorial Building,
Minneapolis, MN 55455

Ph: (612) 624-9990		Dr Jacob Cooper Deweerth, MD
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: (612) 672-6000

Reviews and Comments


Anesthesiology Doctors in Minneapolis, MN

Dr. Matthew Larson, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415
Phone: 612-873-3000    
Brian Tolly, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Veterans Dr, Minneapolis, MN 55417
Phone: 612-725-2000    
Vinod Kumar,
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455
Phone: 901-317-2162    
Robert E Mcklveen, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Bryce C. Beverlin, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Nathan Wei-jim Liu, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455
Phone: 612-625-6483    
Dr. Michael H Wall, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455
Phone: 612-273-3000    

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.