Scott Alan Jacobs, PA-C is a medicare enrolled "Military Health Care Provider" in Fort Bliss, Texas. His current practice location is
11335 Ssg Sims St., Fort Bliss, Texas. You can reach out to his office (for appointments etc.) via phone at
(915) 742-2273.
Scott Alan Jacobs is licensed to practice in * (Not Available) (license number ) 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 1083349641.
Provider's Profile
Full Name | Scott Alan Jacobs |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 11335 Ssg Sims St., Fort Bliss, Texas |
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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: 1083349641
- Provider Enumeration Date: 07/19/2022
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890169692
- Enrollment ID: I20230317001421
Medical Identifiers
Medical identifiers for Scott Alan Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083349641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA15994 (Texas) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
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 Alan 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 Alan Jacobs, PA-C 13071 Wellington, Horizon City, TX 79928-2201 Ph: (385) 235-2292 | Scott Alan Jacobs, PA-C 11335 Ssg Sims St., Fort Bliss, TX 79918 Ph: (915) 742-2273 |
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