Dr Derek P Jacobsen, - Medicare Optometrist in Sun City West, AZ

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Dr Derek P Jacobsen, is a medicare enrolled "Optometrist" provider in Sun City West, Arizona. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Emilio Martin Justo Md Pc, Scottsdale Center For Sight, Plc and his current practice location is 13613 W Camino Del Sol Ste 2, Sun City West, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 584-2100.

Dr Derek P Jacobsen is licensed to practice in Arizona (license number 1933) 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 1124462593.

Contact Information

Dr Derek P Jacobsen,
13613 W Camino Del Sol Ste 2,
Sun City West, AZ 85375-4480
(623) 584-2100
(623) 584-0023

Map and Direction




Healthcare Provider's Profile

Full NameDr Derek P Jacobsen
GenderMale
SpecialityOptometry
Experience11 Years
Location13613 W Camino Del Sol Ste 2, Sun City West, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Derek P Jacobsen graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1124462593
  • Provider Enumeration Date: 04/29/2013
  • Last Update Date: 03/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274759824
  • Enrollment ID: I20141002002166

Medical Identifiers

Medical identifiers for Dr Derek P Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124462593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1933 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emilio Martin Justo Md Pc418360081011
Scottsdale Center For Sight, Plc63058297897

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 Derek P Jacobsen allows following entities to bill medicare on his behalf.
Provider NameScottsdale Center For Sight, Plc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265591374
PECOS PAC ID: 6305829789
Enrollment ID: O20040608000525
Provider NameEmilio Martin Justo Md Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801902762
PECOS PAC ID: 4183600810
Enrollment ID: O20040624001494
Provider NameNationwide Optometry P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326472945
PECOS PAC ID: 6901033075
Enrollment ID: O20131217000251

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 Derek P Jacobsen 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 AddressPractice Location Address
Dr Derek P Jacobsen,
14269 N 87th St Ste 203,
Scottsdale, AZ 85260-3695

Ph: (480) 483-8882		Dr Derek P Jacobsen,
13613 W Camino Del Sol Ste 2,
Sun City West, AZ 85375-4480

Ph: (623) 584-2100

Reviews and Comments


Optometrist in Sun City West, AZ

Sun City West Eye Care Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 13540 W Camino Del Sol, Suite 17, Sun City West, AZ 85375
Phone: 623-544-3877    Fax: 623-544-3834
Harper Optometric Care
Optometrist
Medicare: Medicare Enrolled
Practice Location: 13920 W Camino Del Sol, Ste. 6, Sun City West, AZ 85375
Phone: 623-584-1366    Fax: 623-584-1329
Family In Focus Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 13920 W Camino Del Sol Ste 6, Sun City West, AZ 85375
Phone: 480-766-8840    
Dr. Cynthia Harper, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 13920 W Camino Del Sol, Ste. 6, Sun City West, AZ 85375
Phone: 623-584-1366    Fax: 623-584-1329
Mr. Donald Joseph Siegel, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 13540 W Camino Del Sol, Suite 12, Sun City West, AZ 85375
Phone: 623-544-3877    Fax: 623-544-3834
Dr. Robert Harper, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 13920 W Camino Del Sol, Ste. 6, Sun City West, AZ 85375
Phone: 623-584-1366    Fax: 623-584-1329

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.