Jacob Russell Porter, DO in Salt Lake City, UT

Jacob Russell Porter, DO is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Physicians Integrated Care Llc and his current practice location is 333 N 300 W, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (014) 637-4158.

Jacob Russell Porter is licensed to practice in Illinois (license number 00000000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588198063.

Contact Information

	Jacob Russell Porter, DO
	333 N 300 W, Salt Lake City, UT 84103-1215
	(014) 637-4158
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Russell Porter
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	333 N 300 W, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Russell Porter graduated from medical school in 2017

NPI Data:

NPI Number: 1588198063
Provider Enumeration Date: 04/12/2017
Last Update Date: 08/18/2020

Medicare PECOS Information:

PECOS PAC ID: 0143594895
Enrollment ID: I20200713002584

Medical Identifiers

Medical identifiers for Jacob Russell Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588198063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	00000000 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mark's Hospital	Salt lake city, UT	Hospital
Lone Peak Hospital	Draper, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Physicians Integrated Care Llc	4284548116	170

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 Russell Porter allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Integrated Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013

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 Russell Porter 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
Jacob Russell Porter, DO 333 N 300 W, Salt Lake City, UT 84103-1215 Ph: (480) 318-0354	Jacob Russell Porter, DO 333 N 300 W, Salt Lake City, UT 84103-1215 Ph: (014) 637-4158

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Jacob Russell Porter, DO - Medicare Emergency Medicine in Salt Lake City, UT