Bruce Kenneth Jacobson, PHD, PC in Salt Lake City, UT - Medicare Clinical Psychologist Provider

Bruce Kenneth Jacobson, PHD, PC is a medicare enrolled "Psychologist" provider in Salt Lake City, Utah. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 4190 Highland Dr, Suite 211, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 272-0614.

Bruce Kenneth Jacobson is licensed to practice in Utah (license number 450510082) 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 1679743009.

Contact Information

	Bruce Kenneth Jacobson, PHD, PC
	4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600
	(801) 272-0614
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bruce Kenneth Jacobson
Gender	Male
Speciality	Clinical Psychologist
Experience	35 Years
Location	4190 Highland Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bruce Kenneth Jacobson graduated from medical school in 1989

NPI Data:

NPI Number: 1679743009
Provider Enumeration Date: 02/29/2008
Last Update Date: 03/14/2018

Medicare PECOS Information:

PECOS PAC ID: 6608841481
Enrollment ID: I20040826000954

Medical Identifiers

Medical identifiers for Bruce Kenneth Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679743009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	450510082 (Utah)	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. Bruce Kenneth Jacobson allows following entities to bill medicare on his behalf.

Entity Name	Bruce K Jacobson Phd Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417913575 PECOS PAC ID: 2264407030 Enrollment ID: O20040826000905

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. Bruce Kenneth Jacobson 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
Bruce Kenneth Jacobson, PHD, PC 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 Ph: (801) 272-0614	Bruce Kenneth Jacobson, PHD, PC 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 Ph: (801) 272-0614

Reviews and Comments

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Bruce Kenneth Jacobson, PHD, PC - Medicare Psychologist in Salt Lake City, UT