Bailee Ann Jacobsen, DO in Stanford, CA - Medicare Preventive Medicine

Bailee Ann Jacobsen, DO is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Stanford, California. Her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-4000.

Bailee Ann Jacobsen is licensed to practice in California (license number 20A20056) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881154755.

Contact Information

	Bailee Ann Jacobsen, DO
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Bailee Ann Jacobsen
Gender	Female
Speciality	Preventive Medicine - Addiction Medicine
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881154755
Provider Enumeration Date: 03/25/2019
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1557696184
Enrollment ID: I20230530001991

Medical Identifiers

Medical identifiers for Bailee Ann Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881154755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	125.074874 (Illinois)	Secondary
207P00000X	Emergency Medicine	20A20056 (California)	Secondary
2083A0300X	Preventive Medicine - Addiction Medicine	20A20056 (California)	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. Bailee Ann Jacobsen allows following entities to bill medicare on her behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Eden Emergency Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891786240 PECOS PAC ID: 7012802333 Enrollment ID: O20040217000163

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Bailee Ann 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
Bailee Ann Jacobsen, DO 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Bailee Ann Jacobsen, DO 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Preventive Medicine Doctors in Stanford, CA

Dr. Paul Matthew Maggio, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Rm S067, Stanford, CA 94305 Phone: 650-723-0173
Debadutta Dash, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Mark Richard Cullen, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 251 Campus Dr, Msob X338, Stanford, CA 94305 Phone: 650-721-6209
Richard Isaac Wittman, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Benjamin D. Schanker, MD MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Christian Charles Rose, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-0000
Clifford Augustine Schmiesing Iii, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-5710

Bailee Ann Jacobsen, DO - Medicare Preventive Medicine in Stanford, CA