Dr Addison F Jacobs, MD is a
Radiology - Diagnostic Radiology physician based in Scott Air Force Base, Illinois. Dr Addison F Jacobs is licensed to practice in Nebraska (license number 33917) and his current practice location is 310 W Losey St, Scott Air Force Base, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 256-9355.
NPI number for Dr Addison F Jacobs is 1679109482 and his current mailing address is 310 W Losey St, Scott Air Force Base, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679109482.
Physician's Profile
| Full Name | Dr Addison F Jacobs |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 310 W Losey St, Scott Air Force Base, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679109482
- Provider Enumeration Date: 03/13/2020
- Last Update Date: 07/28/2025
Medical Identifiers
Medical identifiers for Dr Addison F Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679109482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 33917 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 33917 (Nebraska) | Primary |
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 Addison F Jacobs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Addison F Jacobs, MD 310 W Losey St, Scott Air Force Base, IL 62225-5250 Ph: (618) 256-9355 | Dr Addison F Jacobs, MD 310 W Losey St, Scott Air Force Base, IL 62225-5250 Ph: (618) 256-9355 |
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