Jacob Kusmak, is a medicare enrolled "Dermatology" provider in Sioux Falls, South Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2007 and has 17 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Sanford Medical Center and his current practice location is
1310 W 22nd St, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 328-8600.
Jacob Kusmak is licensed to practice in South Dakota (license number PENDING) 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 1285833459.
Healthcare Provider's Profile
| Full Name | Jacob Kusmak |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 17 Years |
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| Location | 1310 W 22nd St, Sioux Falls, South Dakota |
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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:
- Jacob Kusmak attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2007
NPI Data:
- NPI Number: 1285833459
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 04/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789847971
- Enrollment ID: I20120525000562
Medical Identifiers
Medical identifiers for Jacob Kusmak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285833459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | 5144 (South Dakota) | Secondary |
| 207N00000X | Dermatology | PENDING (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Medical Center | 8325950215 | 717 |
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. Jacob Kusmak allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532 |
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| Entity Name | Sanford Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388 |
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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. Jacob Kusmak 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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Jacob Kusmak,
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Jacob Kusmak,
1310 W 22nd St,
Sioux Falls, SD 57105-1501
Ph: (605) 328-8600 |
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