Richard M Jacobsen, is a medicare enrolled "Social Worker - Clinical" provider in Cortez, Colorado. He graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Southwest Colorado Mental Health Center Inc and his current practice location is
691 E Empire St, Cortez, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 565-7946.
Richard M Jacobsen is licensed to practice in Colorado (license number CSW.09923680) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306174156.
Healthcare Provider's Profile
| Full Name | Richard M Jacobsen |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 691 E Empire St, Cortez, Colorado |
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| Accepts Medicare Assignments | Yes. He 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:
- Richard M Jacobsen graduated from medical school in 2012
NPI Data:
- NPI Number: 1306174156
- Provider Enumeration Date: 12/04/2009
- Last Update Date: 02/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 6507189602
- Enrollment ID: I20141222001287
Medical Identifiers
Medical identifiers for Richard M Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306174156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACB6993 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09923680 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southwest Colorado Mental Health Center Inc | 9133011802 | 25 |
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. Richard M Jacobsen allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Colorado Mental Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932192598
PECOS PAC ID: 9133011802
Enrollment ID: O20040326001177 |
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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. Richard M 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 |
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Richard M Jacobsen,
150 Mercury Village Dr,
Durango, CO 81301-8955
Ph: () - | Richard M Jacobsen,
691 E Empire St,
Cortez, CO 81321-2802
Ph: (970) 565-7946 |
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