Dr Jamie Mulanax Jacobsen, DO is a medicare enrolled "Family Medicine" provider in Mayetta, Kansas. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Rural Health Resources Of Jackson Co Inc, Prairie Band Potawatomi Nation, Emergency Services Of Kansas, P.a. and her current practice location is
11400 158th Rd, Mayetta, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 966-8200.
Dr Jamie Mulanax Jacobsen is licensed to practice in Kansas (license number 0537969) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669447330.
Healthcare Provider's Profile
| Full Name | Dr Jamie Mulanax Jacobsen |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 15 Years |
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| Location | 11400 158th Rd, Mayetta, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jamie Mulanax Jacobsen graduated from medical school in 2011
NPI Data:
- NPI Number: 1669447330
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799706263
- Enrollment ID: I20140814002166
Medical Identifiers
Medical identifiers for Dr Jamie Mulanax Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669447330 | NPI | - | NPPES |
| 0537969 | Other | KS | STATE LICENSE |
| 0105010 | Other | KS | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 0105010 (Kansas) | Secondary |
| 207P00000X | Emergency Medicine | 05-37969 (Kansas) | Secondary |
| 207Q00000X | Family Medicine | 5231 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 5231 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 0537969 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rural Health Resources Of Jackson Co Inc | 7810807690 | 27 |
| Prairie Band Potawatomi Nation | 7719921907 | 4 |
| Emergency Services Of Kansas, P.a. | 2062683808 | 17 |
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 Jamie Mulanax 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 |
|---|
Dr Jamie Mulanax Jacobsen, DO
11400 158th Rd,
Mayetta, KS 66509-8866
Ph: (785) 966-8200 | Dr Jamie Mulanax Jacobsen, DO
11400 158th Rd,
Mayetta, KS 66509-8866
Ph: (785) 966-8200 |
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