Charles A Jacobson, MD - Medicare Orthopaedic Surgery in Moscow, ID

  1. Home
  2. Orthopedic Surgery
  3. ID
  4. Moscow
Charles A Jacobson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Moscow, Idaho. His current practice location is 2500 W A St, Suite 201, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 883-2828.

Charles A Jacobson is licensed to practice in Idaho (license number M6567) 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 1760492656.

Contact Information

Charles A Jacobson, MD
2500 W A St, Suite 201,
Moscow, ID 83843-5065
(208) 883-2828
(208) 882-2179

Map and Direction




Physician's Profile

Full NameCharles A Jacobson
GenderMale
SpecialityOrthopaedic Surgery
Location2500 W A St, Moscow, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760492656
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 08/04/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1456330927
  • Enrollment ID: I20091124000398

Medical Identifiers

Medical identifiers for Charles A Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760492656NPI-NPPES
0102784OtherWADEPT OF LABOR
002743901MedicaidID
1092733MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery M6567 (Idaho)Primary
207X00000XOrthopaedic Surgery 31851 (Washington)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. Charles A Jacobson allows following entities to bill medicare on his behalf.
Entity NameInland Orthopaedic Surgery And Sports Medicine Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952877763
PECOS PAC ID: 5496091605
Enrollment ID: O20190116003808

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. Charles A 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 AddressPractice Location Address
Charles A Jacobson, MD
2500 W A St, Suite 201,
Moscow, ID 83843-5065

Ph: (208) 883-2828		Charles A Jacobson, MD
2500 W A St, Suite 201,
Moscow, ID 83843-5065

Ph: (208) 883-2828

Reviews and Comments


Orthopaedic Surgery Doctors in Moscow, ID

Leo Y Chough, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2301 W A St, Moscow, ID 83843
Phone: 208-883-1135    
Dr. Marvin Renell Kym, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2301 W A St, Moscow, ID 83843
Phone: 208-883-1135    Fax: 208-892-0174
Dr. Aaron James Vandenbos, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W A St Ste 201, Moscow, ID 83843
Phone: 208-883-2828    Fax: 208-882-2179

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.