Mr Jacob Sanderson, FNP-BC - Medicare Nurse Practitioner in Logan, UT

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Mr Jacob Sanderson, FNP-BC is a medicare enrolled "Emergency Medicine" physician in Logan, Utah. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Atlas Medical Utah Llc, Rocky Mountain Emergency Specialists Llc and his current practice location is 1400 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-2000.

Mr Jacob Sanderson is licensed to practice in Utah (license number 6231344-4405) 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 1265094742.

Contact Information

Mr Jacob Sanderson, FNP-BC
1400 N 500 E,
Logan, UT 84341-2455
(435) 716-2000
Not Available

Map and Direction




Physician's Profile

Full NameMr Jacob Sanderson
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location1400 N 500 E, Logan, Utah
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:
  • Mr Jacob Sanderson graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1265094742
  • Provider Enumeration Date: 07/03/2019
  • Last Update Date: 07/03/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971834441
  • Enrollment ID: I20191015000287

Medical Identifiers

Medical identifiers for Mr Jacob Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265094742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 6231344-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Integrity Home HealthBrigham city, UTHome health agency
Integrity HospiceNorth logan, UTHospice
Logan Regional HospitalLogan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atlas Medical Utah Llc49819370349
Rocky Mountain Emergency Specialists Llc55976623208

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 Sanderson allows following entities to bill medicare on his behalf.
Entity NameRocky Mountain Emergency Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225078736
PECOS PAC ID: 5597662320
Enrollment ID: O20031218000389
Entity NameAtlas Medical Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568928133
PECOS PAC ID: 4981937034
Enrollment ID: O20190605001965
Entity NameSound Physicians Of Wyoming, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982982708
PECOS PAC ID: 8325214828
Enrollment ID: O20240311002432

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 Sanderson 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
Mr Jacob Sanderson, FNP-BC
573 S 1080 E,
Smithfield, UT 84335-5103

Ph: (435) 757-3784		Mr Jacob Sanderson, FNP-BC
1400 N 500 E,
Logan, UT 84341-2455

Ph: (435) 716-2000

Reviews and Comments


Emergency Medicine Doctors in Logan, UT

Steven G. Nail, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-2250    Fax: 435-716-2250
Douglas P Plowman, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    
Theral Michael Bishop, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    
Rodney L Hammer,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 179 N Main St Ste 309, Logan, UT 84321
Phone: 435-755-1670    
Ryan J Stolworthy, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    
Richard J Ingebretsen, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    

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.