Andrew Jacobsen, DPT is a medicare enrolled "Physical Therapist" provider in Lexington, Nebraska. His current practice location is
110 W 5th St, Lexington, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(308) 324-3700.
Andrew Jacobsen is licensed to practice in Nebraska (license number 4472) 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 1669165361.
Healthcare Provider's Profile
Full Name | Andrew Jacobsen |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 110 W 5th St, Lexington, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669165361
- Provider Enumeration Date: 05/30/2023
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941668693
- Enrollment ID: I20230628000642
Medical Identifiers
Medical identifiers for Andrew Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669165361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 4472 (Nebraska) | 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. Andrew Jacobsen allows following entities to bill medicare on his behalf.
Provider Name | Family Physical Therapy & Sports Center |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1356373658 PECOS PAC ID: 7214970177 Enrollment ID: O20050602000441 |
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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. Andrew 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 |
Andrew Jacobsen, DPT 110 W 5th St, Lexington, NE 68850-1903 Ph: (308) 324-3700 | Andrew Jacobsen, DPT 110 W 5th St, Lexington, NE 68850-1903 Ph: (308) 324-3700 |
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