Emilie Sue Jacobsen, MD - Medicare Dermatology in Great Falls, MT

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Emilie Sue Jacobsen, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Great Falls, Montana. Her current practice location is 400 13th Ave S Ste 206, Great Falls, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 731-8888.

Emilie Sue Jacobsen is licensed to practice in Montana (license number 140163) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548729445.

Contact Information

Emilie Sue Jacobsen, MD
400 13th Ave S Ste 206,
Great Falls, MT 59405-4300
(406) 731-8888
Not Available

Map and Direction




Physician's Profile

Full NameEmilie Sue Jacobsen
GenderFemale
SpecialityDermatology - Mohs-micrographic Surgery
Location400 13th Ave S Ste 206, Great Falls, Montana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548729445
  • Provider Enumeration Date: 03/19/2019
  • Last Update Date: 06/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638404999
  • Enrollment ID: I20230803004086

Medical Identifiers

Medical identifiers for Emilie Sue Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548729445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 01090118A (Indiana)Secondary
207N00000XDermatology 140163 (Montana)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 140163 (Montana)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. Emilie Sue Jacobsen allows following entities to bill medicare on her behalf.
Entity NameSt Vincent Physician Services Hospital And Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669422234
PECOS PAC ID: 9638072184
Enrollment ID: O20040223001092

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. Emilie Sue Jacobsen 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
Emilie Sue Jacobsen, MD
Po Box 6010,
Great Falls, MT 59406-6010

Ph: () -		Emilie Sue Jacobsen, MD
400 13th Ave S Ste 206,
Great Falls, MT 59405-4300

Ph: (406) 731-8888

Reviews and Comments


Dermatology Doctors in Great Falls, MT

Dr. Leslie Ellen Stapp, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 400 13th Ave S, Great Falls, MT 59405
Phone: 406-731-8888    Fax: 406-731-8318
Nicole Leigh Wellman Donester, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 400 13th Ave S, Suite 206, Great Falls, MT 59405
Phone: 406-731-8888    Fax: 406-731-8876
Jonathan L Bingham, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 400 13th Ave S, Great Falls, MT 59405
Phone: 406-731-8888    Fax: 406-731-8318

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.