Eric J Jacobsen, MD - Medicare Emergency Medicine in San Luis Obispo, CA

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Eric J Jacobsen, MD is a medicare enrolled "Emergency Medicine" physician in San Luis Obispo, California. His current practice location is 1911 Johnson Ave, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at (805) 543-5353.

Eric J Jacobsen is licensed to practice in California (license number A63033) 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 1568405603.

Contact Information

Eric J Jacobsen, MD
1911 Johnson Ave,
San Luis Obispo, CA 93401-4131
(805) 543-5353
Not Available

Map and Direction




Physician's Profile

Full NameEric J Jacobsen
GenderMale
SpecialityEmergency Medicine
Location1911 Johnson Ave, San Luis Obispo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568405603
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 05/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7517095698
  • Enrollment ID: I20100511000540

Medical Identifiers

Medical identifiers for Eric J Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568405603NPI-NPPES
00A630330MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A63033 (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. Eric J Jacobsen allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameOrange County Urgent Care #3, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497001200
PECOS PAC ID: 2062667306
Enrollment ID: O20130312000517

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. Eric J 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
Eric J Jacobsen, MD
2100 Powell Street, Suite 900,
Emryville, CA 94608-1803

Ph: (510) 350-2600		Eric J Jacobsen, MD
1911 Johnson Ave,
San Luis Obispo, CA 93401-4131

Ph: (805) 543-5353

Reviews and Comments


Emergency Medicine Doctors in San Luis Obispo, CA

Travis Patrick Martin,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1551 Bishop St Ste 210, San Luis Obispo, CA 93401
Phone: 805-329-6262    
Paul Eli Christensen, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1911 Johnson Avenue, San Luis Obispo, CA 93420
Phone: 805-543-5353    Fax: 805-542-6381
Paul F Georghio, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Murray St, San Luis Obispo, CA 93405
Phone: 805-546-7650    
Dr. Kenyon Tsao, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1911 Johnson Ave, San Luis Obispo, CA 93401
Phone: 805-542-6621    
Dr. Kristopher Lyon, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1911 Johnson Ave, French Hospital Emergency Department, San Luis Obispo, CA 93401
Phone: 805-542-6378    
Sean Andrews,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405
Phone: 805-546-7600    
Dr. John Everett Garcia, M.D
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Grand Ave, California Polytechnic University, San Luis Obispo, CA 93407
Phone: 805-756-5373    Fax: 805-756-5298

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.