Erik J Jacobson, PHD in Utica, NY - Medicare Psychologist Provider

Erik J Jacobson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Utica, New York. His current practice location is 1020 Mary St, Utica, New York. You can reach out to his office (for appointments etc.) via phone at (315) 724-6907.

Erik J Jacobson is licensed to practice in New York (license number 016534) 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 1457544165.

Contact Information

	Erik J Jacobson, PHD
	1020 Mary St, Utica, NY 13501-1930
	(315) 724-6907
	(315) 733-0791

Map and Direction

Healthcare Provider's Profile

Full Name	Erik J Jacobson
Gender	Male
Speciality	Psychologist - Clinical
Location	1020 Mary St, Utica, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457544165
Provider Enumeration Date: 08/27/2007
Last Update Date: 09/18/2008

Medicare PECOS Information:

PECOS PAC ID: 6608947361
Enrollment ID: I20080624000419

Medical Identifiers

Medical identifiers for Erik J Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457544165	NPI	-	NPPES
01039156	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	016534 (New York)	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. Erik J Jacobson allows following entities to bill medicare on his behalf.

Entity Name	Upstate Cerebral Palsy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780636506 PECOS PAC ID: 5496734758 Enrollment ID: O20040719001380

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. Erik J 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
Erik J Jacobson, PHD 1601 Armory Dr, Utica, NY 13501-5405 Ph: (315) 797-6241	Erik J Jacobson, PHD 1020 Mary St, Utica, NY 13501-1930 Ph: (315) 724-6907

Reviews and Comments

Psychologist in Utica, NY

Dr. Sharen Barboza, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2709 Genesee St, Utica, NY 13501 Phone: 315-534-9255
Michael Kevin Webb Ii, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 330 Main St Apt 301, Utica, NY 13501 Phone: 618-616-0156
Dr. Viratri Phonrome, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Noyes St, Utica, NY 13502 Phone: 315-738-4439 Fax: 315-738-4450
Andy Lopez-williams, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 122 Business Park Dr, Suite 1, Utica, NY 13502 Phone: 315-732-3431 Fax: 866-822-2343
Dr. Hannah D Monk, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1651 Oneida St, Utica, NY 13501 Phone: 315-793-7600
Jennifer Paul Herkel, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 130 Lomond Ct, Utica, NY 13502 Phone: 315-534-9541
Dr. Mara Ladd Vanderzell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1601 Armory Dr, Building C, Utica, NY 13501 Phone: 315-797-6241 Fax: 315-749-7054

Erik J Jacobson, PHD - Medicare Psychologist in Utica, NY