Lisa Waite Jacobson, DO is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Cadillac, Michigan. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Otolaryngology. Her current practice location is
8872 Professional Dr, Cadillac, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 779-6260.
Lisa Waite Jacobson is licensed to practice in Michigan (license number 5101013549) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922073766.
Physician's Profile
Full Name | Lisa Waite Jacobson |
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Gender | Female |
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Speciality | Otolaryngology |
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Experience | 27 Years |
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Location | 8872 Professional Dr, Cadillac, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lisa Waite Jacobson graduated from medical school in 1997
NPI Data:
- NPI Number: 1922073766
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 10/24/2007
Medicare PECOS Information:
- PECOS PAC ID: 9133277981
- Enrollment ID: I20090505000050
Medical Identifiers
Medical identifiers for Lisa Waite Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922073766 | NPI | - | NPPES |
4420424 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YS0123X | Otolaryngology - Facial Plastic Surgery | 5101013549 (Michigan) | Primary |
Medical Facilities Affiliation
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. Lisa Waite Jacobson allows following entities to bill medicare on her behalf.
Entity Name | Lisa Jacobson D.o., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831333715 PECOS PAC ID: 5496803249 Enrollment ID: O20090505000059 |
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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. Lisa Waite 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 |
Lisa Waite Jacobson, DO 8872 Professional Dr, Cadillac, MI 49601-8481 Ph: (231) 779-6260 | Lisa Waite Jacobson, DO 8872 Professional Dr, Cadillac, MI 49601-8481 Ph: (231) 779-6260 |
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