Ian M Jacobson, MD in Providence, RI - Medicare Emergency Medicine

Ian M Jacobson, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. His current practice location is 825 Chalkstone Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (330) 493-4443.

Ian M Jacobson is licensed to practice in Rhode Island (license number MD08888) 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 1013057900.

Contact Information

	Ian M Jacobson, MD
	825 Chalkstone Ave, Providence, RI 02908-4728
	(330) 493-4443
	Not Available

Map and Direction

Physician's Profile

Full Name	Ian M Jacobson
Gender	Male
Speciality	Emergency Medicine
Location	825 Chalkstone Ave, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013057900
Provider Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6103803150
Enrollment ID: I20040707000720

Medical Identifiers

Medical identifiers for Ian M Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013057900	NPI	-	NPPES
7004811	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD08888 (Rhode Island)	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. Ian M Jacobson allows following entities to bill medicare on his behalf.

Entity Name	Blackstone Valley Community Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063574135 PECOS PAC ID: 8628045762 Enrollment ID: O20040916000775

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. Ian M Jacobson 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
Ian M Jacobson, MD 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443	Ian M Jacobson, MD 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: (330) 493-4443

Reviews and Comments

Emergency Medicine Doctors in Providence, RI

Dr. Robert A Partridge, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538
Dr. Gregory R Lockhart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-444-4000 Fax: 401-427-7795
Dr. Daniel Shanin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903 Phone: 401-444-4000
Dr. Oriane Diana Longerstaey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 704-355-3181
Rachel Smith Shain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-6489 Fax: 401-444-6662
Otto Liebmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-519-1604 Fax: 401-272-0538

Ian M Jacobson, MD - Medicare Emergency Medicine in Providence, RI