Jacob Ogden, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Du Bois, Pennsylvania. His current practice location is
100 Hospital Ave, Du Bois, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 371-2200.
Jacob Ogden is licensed to practice in Pennsylvania (license number OS021977) 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 1962933879.
Physician's Profile
| Full Name | Jacob Ogden |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 100 Hospital Ave, Du Bois, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962933879
- Provider Enumeration Date: 03/22/2017
- Last Update Date: 10/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284038407
- Enrollment ID: I20221108003609
Medical Identifiers
Medical identifiers for Jacob Ogden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962933879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | OS021977 (Pennsylvania) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Ogden allows following entities to bill medicare on his behalf.
| Entity Name | Dubois Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447357843
PECOS PAC ID: 5890689715
Enrollment ID: O20040326001197 |
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| Entity Name | Dubois Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457809840
PECOS PAC ID: 5890689715
Enrollment ID: O20161026000218 |
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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. Jacob Ogden 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 |
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Jacob Ogden,
100 Hospital Ave,
Du Bois, PA 15801-1440
Ph: () - | Jacob Ogden,
100 Hospital Ave,
Du Bois, PA 15801-1440
Ph: (814) 371-2200 |
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