Dr Jacob Carl Shook, DO is a medicare enrolled "Family Medicine" physician in Joint Base Elmendorf Richardson, Alaska. His current practice location is
Medac 7860, Joint Base Elmendorf Richardson, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 384-3895.
Dr Jacob Carl Shook is licensed to practice in Nebraska (license number 1721) 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 1578912598.
Physician's Profile
Full Name | Dr Jacob Carl Shook |
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Gender | Male |
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Speciality | Family Medicine |
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Location | Medac 7860, Joint Base Elmendorf Richardson, Alaska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578912598
- Provider Enumeration Date: 06/09/2016
- Last Update Date: 02/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103181466
- Enrollment ID: I20230417002930
Medical Identifiers
Medical identifiers for Dr Jacob Carl Shook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578912598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1721 (Nebraska) | 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 Carl Shook allows following entities to bill medicare on his behalf.
Entity Name | Medical Network Of Alaska Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538414834 PECOS PAC ID: 3072618859 Enrollment ID: O20070424000329 |
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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 Carl Shook 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 Carl Shook, DO 5188 N Slate Cir, Wasilla, AK 99654-1012 Ph: (570) 690-0421 | Dr Jacob Carl Shook, DO Medac 7860, Joint Base Elmendorf Richardson, AK 99505 Ph: (907) 384-3895 |
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