Phillip Albert Jacobson, MD in Chicago, IL

Phillip Albert Jacobson, MD is a medicare enrolled "General Practice" physician in Chicago, Illinois. His current practice location is 8 W Monroe St Apt 2101, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (866) 710-1018.

Phillip Albert Jacobson is licensed to practice in Illinois (license number 036084957) 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 1376578120.

Contact Information

	Phillip Albert Jacobson, MD
	8 W Monroe St Apt 2101, Chicago, IL 60603-2453
	(866) 710-1018
	Not Available

Map and Direction

Physician's Profile

Full Name	Phillip Albert Jacobson
Gender	Male
Speciality	General Practice
Location	8 W Monroe St Apt 2101, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376578120
Provider Enumeration Date: 07/11/2006
Last Update Date: 04/26/2021

Medicare PECOS Information:

PECOS PAC ID: 4587633755
Enrollment ID: I20040927000036

Medical Identifiers

Medical identifiers for Phillip Albert Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376578120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-084957 (Illinois)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	036-084957 (Illinois)	Secondary
208D00000X	General Practice	036084957 (Illinois)	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. Phillip Albert Jacobson allows following entities to bill medicare on his behalf.

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871560961 PECOS PAC ID: 5496744005 Enrollment ID: O20040510000386

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. Phillip Albert 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
Phillip Albert Jacobson, MD 8 W Monroe St Apt 2101, Chicago, IL 60603-2453 Ph: (866) 710-1018	Phillip Albert Jacobson, MD 8 W Monroe St Apt 2101, Chicago, IL 60603-2453 Ph: (866) 710-1018

Reviews and Comments

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Phillip Albert Jacobson, MD - Medicare General Practice in Chicago, IL