Jacob Daniel Hattenbach, DO - Medicare Physical Medicine & Rehabilitation in Marina Del Rey, CA

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Jacob Daniel Hattenbach, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Marina Del Rey, California. His current practice location is 13160 Mindanao Way Ste 200, Marina Del Rey, California. You can reach out to his office (for appointments etc.) via phone at (310) 482-6906.

Jacob Daniel Hattenbach is licensed to practice in California (license number 20A22622) 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 1184184244.

Contact Information

Jacob Daniel Hattenbach, DO
13160 Mindanao Way Ste 200,
Marina Del Rey, CA 90292-7907
(310) 482-6906
Not Available

Map and Direction




Physician's Profile

Full NameJacob Daniel Hattenbach
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location13160 Mindanao Way Ste 200, Marina Del Rey, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184184244
  • Provider Enumeration Date: 03/23/2019
  • Last Update Date: 09/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496116592
  • Enrollment ID: I20230807000486

Medical Identifiers

Medical identifiers for Jacob Daniel Hattenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184184244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 5101027170 (Michigan)Secondary
208100000XPhysical Medicine & Rehabilitation 20A22622 (California)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. Jacob Daniel Hattenbach allows following entities to bill medicare on his behalf.
Entity NameRegents Of The University Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205868353
PECOS PAC ID: 3779496856
Enrollment ID: O20031106000325

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. Jacob Daniel Hattenbach 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
Jacob Daniel Hattenbach, DO
12021 Wilshire Blvd # 144,
Los Angeles, CA 90025-1206

Ph: (310) 383-5301		Jacob Daniel Hattenbach, DO
13160 Mindanao Way Ste 200,
Marina Del Rey, CA 90292-7907

Ph: (310) 482-6906

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Marina Del Rey, CA

Leia Rispoli, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 4551 Glencoe Ave Ste 145, Marina Del Rey, CA 90292
Phone: 310-405-0595    Fax: 310-997-2766
Katrina M Vlachos, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 13160 Mindanao Way #300, Marina Del Rey, CA 90292
Phone: 310-574-0384    Fax: 310-574-0382

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.