Deborah Lynn Jacobson, MD in Salt Lake City, UT

Deborah Lynn Jacobson, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Salt Lake City, Utah. Her current practice location is 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-5555.

Deborah Lynn Jacobson is licensed to practice in Utah (license number 10687955-8905) 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 1205126257.

Contact Information

	Deborah Lynn Jacobson, MD
	100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103
	(801) 662-5555
	(801) 662-5547

Map and Direction

Physician's Profile

Full Name	Deborah Lynn Jacobson
Gender	Female
Speciality	Urology - Pediatric Urology
Location	100 N Mario Capecchi Dr Ste 3550, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205126257
Provider Enumeration Date: 04/12/2011
Last Update Date: 05/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7113250465
Enrollment ID: I20190531001464

Medical Identifiers

Medical identifiers for Deborah Lynn Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205126257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2088P0231X	Urology - Pediatric Urology	036.140152 (Illinois)	Secondary
2088P0231X	Urology - Pediatric Urology	M-14378 (Idaho)	Secondary
2088P0231X	Urology - Pediatric Urology	10687955-8905 (Utah)	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. Deborah Lynn Jacobson allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Deborah Lynn 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 Address	Practice Location Address
Deborah Lynn Jacobson, MD 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103 Ph: (801) 662-5555	Deborah Lynn Jacobson, MD 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103 Ph: (801) 662-5555

Reviews and Comments

Urology Doctors in Salt Lake City, UT

Dr. Stephen James Summers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891
Benjamin James Mccormick, Urology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2704 Fax: 801-585-2891
Leah Stoehr, APRN Urology Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5555
John Evan Thomas, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891
Colton K. Leavitt, MD Urology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132 Phone: 801-213-2718
Michael W. Mangelson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001
Julia Faith Piwowarski, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Salt Lake City, UT 84132 Phone: 801-581-7304

Deborah Lynn Jacobson, MD - Medicare Urology in Salt Lake City, UT