Dr David A Jacoby, DOCTOR OF OPTOMETRY is a medicare enrolled "Optometrist" provider in Osage City, Kansas. He went to Southern California College Of Optometry and graduated in 1981 and has 43 years of diverse experience with area of expertise as Optometry. He is a member of the group practice David A Jacoby Od Chartered and his current practice location is
131 W Market St Ste A, Osage City, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 528-4136.
Dr David A Jacoby is licensed to practice in Kansas (license number 1171-3) 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 1003811761.
Healthcare Provider's Profile
| Full Name | Dr David A Jacoby |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 43 Years |
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| Location | 131 W Market St Ste A, Osage City, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David A Jacoby attended and graduated from Southern California College Of Optometry in 1981
NPI Data:
- NPI Number: 1003811761
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 02/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305892753
- Enrollment ID: I20050329000549
Medical Identifiers
Medical identifiers for Dr David A Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003811761 | NPI | - | NPPES |
| 1003811761 | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1171-3 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| David A Jacoby Od Chartered | 7517091044 | 2 |
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. Dr David A Jacoby allows following entities to bill medicare on his behalf.
| Provider Name | David A Jacoby Od Chartered |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1043386287
PECOS PAC ID: 7517091044
Enrollment ID: O20100818001194 |
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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. Dr David A Jacoby 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 |
|---|
Dr David A Jacoby, DOCTOR OF OPTOMETRY
Po Box 258,
Osage City, KS 66523-0258
Ph: (785) 528-4136 | Dr David A Jacoby, DOCTOR OF OPTOMETRY
131 W Market St Ste A,
Osage City, KS 66523-1099
Ph: (785) 528-4136 |
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