Dr James Leland Jacobs, PHD is a medicare enrolled "Psychologist - Clinical" provider in Vassalboro, Maine. His current practice location is
123 Mudget Hill Rd, Vassalboro, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 445-4756.
Dr James Leland Jacobs is licensed to practice in Maine (license number PS600) 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 1588713978.
Healthcare Provider's Profile
| Full Name | Dr James Leland Jacobs |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 123 Mudget Hill Rd, Vassalboro, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588713978
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 07/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385923994
- Enrollment ID: I20161122000449
Medical Identifiers
Medical identifiers for Dr James Leland Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588713978 | NPI | - | NPPES |
| 143490000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS600 (Maine) | Secondary |
| 103TF0200X | Psychologist - Forensic | PS600 (Maine) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PS600 (Maine) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS600 (Maine) | Primary |
| 103T00000X | Psychologist | PS600 (Maine) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PS600 (Maine) | Secondary |
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 James Leland Jacobs allows following entities to bill medicare on his behalf.
| Entity Name | Total Life Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053909267
PECOS PAC ID: 8123433034
Enrollment ID: O20221114000527 |
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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. Dr James Leland Jacobs 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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Dr James Leland Jacobs, PHD
Po Box 348,
North Vassalboro, ME 04962-0348
Ph: (207) 217-4362 | Dr James Leland Jacobs, PHD
123 Mudget Hill Rd,
Vassalboro, ME 04989-4305
Ph: (207) 445-4756 |
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