Scott Bentley Jacobs, MD in Los Angeles, CA - Medicare Emergency Medicine

Scott Bentley Jacobs, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. His current practice location is 11301 Wilshire Blvd, Building 500, Rm 1129, Mail Route 111g, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 478-3711.

Scott Bentley Jacobs is licensed to practice in California (license number G071885) 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 1265483226.

Contact Information

	Scott Bentley Jacobs, MD
	11301 Wilshire Blvd, Building 500, Rm 1129, Mail Route 111g, Los Angeles, CA 90073
	(310) 478-3711
	Not Available

Map and Direction

Physician's Profile

Full Name	Scott Bentley Jacobs
Gender	Male
Speciality	Emergency Medicine
Location	11301 Wilshire Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265483226
Provider Enumeration Date: 05/15/2006
Last Update Date: 01/13/2025

Medicare PECOS Information:

PECOS PAC ID: 0941239644
Enrollment ID: I20050811000799

Medical Identifiers

Medical identifiers for Scott Bentley Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265483226	NPI	-	NPPES
00G718850	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	G071885 (California)	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. Scott Bentley Jacobs allows following entities to bill medicare on his behalf.

Entity Name	Victory Emergency Physicians Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932402716 PECOS PAC ID: 9133301732 Enrollment ID: O20110302000980

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. Scott Bentley Jacobs 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
Scott Bentley Jacobs, MD 2510 Jalmia Dr, Los Angeles, CA 90046-1716 Ph: (323) 216-0006	Scott Bentley Jacobs, MD 11301 Wilshire Blvd, Building 500, Rm 1129, Mail Route 111g, Los Angeles, CA 90073 Ph: (310) 478-3711

Reviews and Comments

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Scott Bentley Jacobs, MD - Medicare Emergency Medicine in Los Angeles, CA