Mr Jacob Christian Harle, DPT, ATC is a medicare enrolled "Physical Therapist" physician in Saint Paul, Minnesota. His current practice location is
1600 University Ave W # 10, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 646-7246.
Mr Jacob Christian Harle is licensed to practice in Iowa (license number 109035) 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 1740779057.
Physician's Profile
Full Name | Mr Jacob Christian Harle |
---|
Gender | Male |
---|
Speciality | Physical Therapist |
---|
Location | 1600 University Ave W # 10, Saint Paul, Minnesota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740779057
- Provider Enumeration Date: 05/02/2018
- Last Update Date: 07/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840645719
- Enrollment ID: I20231012001594
Medical Identifiers
Medical identifiers for Mr Jacob Christian Harle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740779057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 13311 (Minnesota) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 109035 (Iowa) | Primary |
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. Mr Jacob Christian Harle allows following entities to bill medicare on his behalf.
Entity Name | Multicare Health System |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
---|
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. Mr Jacob Christian Harle 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 |
Mr Jacob Christian Harle, DPT, ATC 1039 Blair Ave, Saint Paul, MN 55104-2117 Ph: (641) 512-4594 | Mr Jacob Christian Harle, DPT, ATC 1600 University Ave W # 10, Saint Paul, MN 55104-3898 Ph: (651) 646-7246 |
Reviews and Comments