Dr Gary D Jacobsen, OD in Chandler, AZ - Medicare Optometrist Provider

Dr Gary D Jacobsen, OD is a medicare enrolled "Optometrist" provider in Chandler, Arizona. His current practice location is 3111 W Chandler Blvd, Suite 2104, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 726-7009.

Dr Gary D Jacobsen is licensed to practice in Montana (license number 453) 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 1891786513.

Contact Information

	Dr Gary D Jacobsen, OD
	3111 W Chandler Blvd, Suite 2104, Chandler, AZ 85226-5071
	(480) 726-7009
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gary D Jacobsen
Gender	Male
Speciality	Optometrist
Location	3111 W Chandler Blvd, Chandler, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891786513
Provider Enumeration Date: 11/02/2005
Last Update Date: 02/08/2014

Medicare PECOS Information:

PECOS PAC ID: 3870668742
Enrollment ID: I20140422001131

Medical Identifiers

Medical identifiers for Dr Gary D Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891786513	NPI	-	NPPES
0480350	Medicaid	MT
011003936	Other		MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	453 (Montana)	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. Dr Gary D Jacobsen allows following entities to bill medicare on his behalf.

Provider Name	Farr Eyecare Group, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1518147669 PECOS PAC ID: 2860395043 Enrollment ID: O20080515000655

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 Gary D 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 Address	Practice Location Address
Dr Gary D Jacobsen, OD 3468 E Hazeltine Way, Chandler, AZ 85249-9167 Ph: (406) 939-1309	Dr Gary D Jacobsen, OD 3111 W Chandler Blvd, Suite 2104, Chandler, AZ 85226-5071 Ph: (480) 726-7009

Reviews and Comments

Optometrist in Chandler, AZ

Dr. David Christensen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2050 N Alma School Rd, Chandler, AZ 85224 Phone: 480-786-1075 Fax: 480-786-0476
James Sterenberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1717 W Chandler Blvd, Chandler, AZ 85224 Phone: 480-821-7565
Dr. Nancy Nan-yin Liaw, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1815 E Queen Creek Rd, Ste. #2, Chandler, AZ 85286 Phone: 480-895-2020 Fax: 480-699-6724
Vision Edge Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 7130 W Chandler Blvd Ste 19, Chandler, AZ 85226 Phone: 480-961-8999 Fax: 480-961-5009
Kristin Renee Cerni, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226 Phone: 480-518-1697
Dr. Neal Weinstein, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226 Phone: 480-961-1865 Fax: 480-961-4605
Dr. David Palmieri, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 220 N Mckemy Ave, Chandler, AZ 85226 Phone: 480-961-1865 Fax: 480-961-1865

Dr Gary D Jacobsen, OD - Medicare Optometrist in Chandler, AZ