Paula I Jacobsen, OD is a medicare enrolled "Optometrist" provider in Silvis, Illinois. She went to Indiana University - School Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Jacobsen Eye Care Llc and her current practice location is
704 Crosstown Ave, Silvis, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 796-1444.
Paula I Jacobsen is licensed to practice in Illinois (license number 046-008226) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790771384.
Healthcare Provider's Profile
| Full Name | Paula I Jacobsen |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 35 Years |
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| Location | 704 Crosstown Ave, Silvis, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Paula I Jacobsen attended and graduated from Indiana University - School Of Optometry in 1989
NPI Data:
- NPI Number: 1790771384
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658392303
- Enrollment ID: I20051209000546
Medical Identifiers
Medical identifiers for Paula I Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790771384 | NPI | - | NPPES |
| 08184019 | Other | IL | BLUE CROSS BLUE SHIELD OF IL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 046-008226 (Illinois) | Primary |
| 152W00000X | Optometrist | 1896 (Iowa) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jacobsen Eye Care Llc | 5193170462 | 3 |
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. Paula I Jacobsen allows following entities to bill medicare on her behalf.
| Provider Name | Jacobsen Eye Care Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1992488613
PECOS PAC ID: 5193170462
Enrollment ID: O20231006002707 |
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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. Paula I 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 |
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Paula I Jacobsen, OD
704 Crosstown Ave,
Silvis, IL 61282-1651
Ph: (309) 796-1444 | Paula I Jacobsen, OD
704 Crosstown Ave,
Silvis, IL 61282-1651
Ph: (309) 796-1444 |
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