Steven Vergil Jacobsen, OD in Fremont, NE - Medicare Optometrist Provider

Steven Vergil Jacobsen, OD is a medicare enrolled "Optometrist" provider in Fremont, Nebraska. His current practice location is 1445 N Bell St, Fremont, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 727-9220.

Steven Vergil Jacobsen is licensed to practice in Nebraska (license number 780) 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 1194731232.

Contact Information

	Steven Vergil Jacobsen, OD
	1445 N Bell St, Fremont, NE 68025-3534
	(402) 727-9220
	(402) 727-5625

Map and Direction

Healthcare Provider's Profile

Full Name	Steven Vergil Jacobsen
Gender	Male
Speciality	Optometrist
Location	1445 N Bell St, Fremont, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194731232
Provider Enumeration Date: 07/31/2006
Last Update Date: 04/19/2012

Medicare PECOS Information:

PECOS PAC ID: 7911031695
Enrollment ID: I20100817000670

Medical Identifiers

Medical identifiers for Steven Vergil Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194731232	NPI	-	NPPES
410016544	Other	NE	PALMETTO GBA RAILROAD MED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	780 (Nebraska)	Primary
152W00000X	Optometrist	01542 (Iowa)	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. Steven Vergil Jacobsen allows following entities to bill medicare on his behalf.

Provider Name	Eyecare Specialties Pc Of Lincoln
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1407876006 PECOS PAC ID: 8426016122 Enrollment ID: O20041228000796

Provider Name	John H Mcdougall Od Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154894608 PECOS PAC ID: 4587903786 Enrollment ID: O20190306001220

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. Steven Vergil 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
Steven Vergil Jacobsen, OD Po Box 72, Fremont, NE 68026-0072 Ph: (402) 727-9220	Steven Vergil Jacobsen, OD 1445 N Bell St, Fremont, NE 68025-3534 Ph: (402) 727-9220

Reviews and Comments

Optometrist in Fremont, NE

Dr. Joel Robert Holmquist, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3351 E 24th St, Fremont, NE 68025 Phone: 402-704-6964
Dr. Mary Elizabeth Boeckman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2955 E Elk Ln, Fremont, NE 68025 Phone: 402-721-8032
Eyecare Specialties, Pc Of Lincoln Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1445 N Bell St, Fremont, NE 68025 Phone: 402-727-9220 Fax: 402-727-5625
Fremont Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 2955 E Elk Lane, Fremont, NE 68025 Phone: 402-721-8032 Fax: 402-721-2874
Christopher George Fornoff, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1625 E Military Ave, Fremont, NE 68025 Phone: 402-721-0409 Fax: 402-721-0409
Eye Care Specialties Pc Of Lincoln Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3220 Elk Ln, Fremont, NE 68025 Phone: 402-420-2020 Fax: 402-323-2002

Steven Vergil Jacobsen, OD - Medicare Optometrist in Fremont, NE