Mr Jacob Michael Dakota Redfox, PA-C is a medicare enrolled "Physician Assistant" in Waterville, Ohio. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Columbus Radiology Corp and his current practice location is
7610 Tournament Dr, Waterville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 704-6634.
Mr Jacob Michael Dakota Redfox is licensed to practice in Ohio (license number 50.006018RX) 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 1770130858.
Provider's Profile
| Full Name | Mr Jacob Michael Dakota Redfox |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 5 Years |
|---|
| Location | 7610 Tournament Dr, Waterville, Ohio |
|---|
| Accepts Medicare Assignments | Yes. 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 Michael Dakota Redfox graduated from nursing school in 2019
NPI Data:
- NPI Number: 1770130858
- Provider Enumeration Date: 08/22/2019
- Last Update Date: 08/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678908068
- Enrollment ID: I20200113001294
Medical Identifiers
Medical identifiers for Mr Jacob Michael Dakota Redfox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770130858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 5601009468 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 50.006018RX (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Columbus Radiology Corp | 6507754983 | 275 |
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 Michael Dakota Redfox 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 Michael Dakota Redfox, PA-C
471 E Broad St Ste 1400,
Columbus, OH 43215-3806
Ph: (614) 228-7231 | Mr Jacob Michael Dakota Redfox, PA-C
7610 Tournament Dr,
Waterville, OH 43566-8702
Ph: (419) 704-6634 |
Reviews and Comments