Mr Jacob Hammond, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Aurora, Colorado. His current practice location is
12631 E 17th Ave, Aurora, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 724-2750.
Mr Jacob Hammond is licensed to practice in Colorado (license number TL.0009741) 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 1154857969.
Physician's Profile
Full Name | Mr Jacob Hammond |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 12631 E 17th Ave, Aurora, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154857969
- Provider Enumeration Date: 05/11/2017
- Last Update Date: 07/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193096485
- Enrollment ID: I20170804000827
Medical Identifiers
Medical identifiers for Mr Jacob Hammond such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154857969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 57832 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | TL.0009741 (Colorado) | Primary |
208600000X | Surgery | R76281 (Arizona) | Secondary |
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 Hammond 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 Hammond, MD 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 Ph: (480) 301-8000 | Mr Jacob Hammond, MD 12631 E 17th Ave, Aurora, CO 80045-2527 Ph: (303) 724-2750 |
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