Jacob Scott Anderson, DO - Medicare Family Practice in Phoenix, AZ

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Jacob Scott Anderson, DO is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bhsm Rehabilitation Llc, Banner - University Primary Care Physicians Llc and his current practice location is 1300 N 12th St, Suite 605, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 839-2668.

Jacob Scott Anderson is licensed to practice in Arizona (license number R2266) 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 1558708792.

Contact Information

Jacob Scott Anderson, DO
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848
(602) 839-2668
(602) 839-2067

Map and Direction




Physician's Profile

Full NameJacob Scott Anderson
GenderMale
SpecialityFamily Practice
Experience11 Years
Location1300 N 12th St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. 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 Scott Anderson graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1558708792
  • Provider Enumeration Date: 05/29/2013
  • Last Update Date: 05/29/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9830481274
  • Enrollment ID: I20160706000672

Medical Identifiers

Medical identifiers for Jacob Scott Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558708792NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R2266 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner - University Medical Center PhoenixPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Banner - University Primary Care Physicians Llc236574645036

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 Scott Anderson allows following entities to bill medicare on his behalf.
Entity NameWesley Community Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396910436
PECOS PAC ID: 9032264239
Enrollment ID: O20100407000432
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameBanner - University Primary Care Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154791960
PECOS PAC ID: 2365746450
Enrollment ID: O20160210001728

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 Scott Anderson 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
Jacob Scott Anderson, DO
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848

Ph: (602) 839-2668		Jacob Scott Anderson, DO
1300 N 12th St, Suite 605,
Phoenix, AZ 85006-2848

Ph: (602) 839-2668

Reviews and Comments


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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.