Jacob R Wouden, MD in Fremont, CA - Medicare Diagnostic Radiology

Jacob R Wouden, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fremont, California. He went to Harvard Medical School and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Washington Radiologists Medical Group Inc and his current practice location is 2000 Mowry Ave, Washington Radiologists Medical Group, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (617) 797-1111.

Jacob R Wouden is licensed to practice in California (license number A106813) 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 1114964160.

Contact Information

	Jacob R Wouden, MD
	2000 Mowry Ave, Washington Radiologists Medical Group, Fremont, CA 94538-1716
	(617) 797-1111
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob R Wouden
Gender	Male
Speciality	Diagnostic Radiology
Experience	21 Years
Location	2000 Mowry Ave, Fremont, California
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 R Wouden attended and graduated from Harvard Medical School in 2003

NPI Data:

NPI Number: 1114964160
Provider Enumeration Date: 05/31/2006
Last Update Date: 08/27/2009

Medicare PECOS Information:

PECOS PAC ID: 4789738279
Enrollment ID: I20090818000656

Medical Identifiers

Medical identifiers for Jacob R Wouden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114964160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A106813 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Washington Hospital	Fremont, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington Radiologists Medical Group Inc	6305927245	14

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 R Wouden allows following entities to bill medicare on his behalf.

Entity Name	Washington Radiologists Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851355622 PECOS PAC ID: 6305927245 Enrollment ID: O20080116000567

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 R Wouden 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 R Wouden, MD 2000 Mowry Ave, Washington Radiologists Medical Group, Fremont, CA 94538-1716 Ph: (617) 797-1111	Jacob R Wouden, MD 2000 Mowry Ave, Washington Radiologists Medical Group, Fremont, CA 94538-1716 Ph: (617) 797-1111

Reviews and Comments

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Jacob R Wouden, MD - Medicare Diagnostic Radiology in Fremont, CA