Dr Addison F Jacobs, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Scott Air Force Base, Illinois. He went to Georgetown University School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Specialists In Medical Imaging Sc, Blessing Hospital, Radiology Alliance Pc, Louisville Radiology Imaging Consultants Pllc, Blessing Hospital and his current practice location is
310 W Losey St, Scott Air Force Base, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 256-9355.
Dr Addison F Jacobs is licensed to practice in Nebraska (license number 33917) 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 1679109482.
Physician's Profile
| Full Name | Dr Addison F Jacobs |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 6 Years |
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| Location | 310 W Losey St, Scott Air Force Base, Illinois |
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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. |
Medical Education and Training:
- Dr Addison F Jacobs attended and graduated from Georgetown University School Of Medicine in 2020
NPI Data:
- NPI Number: 1679109482
- Provider Enumeration Date: 03/13/2020
- Last Update Date: 03/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 1254825342
- Enrollment ID: I20260224001001
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 |
| 2085R0202X | Radiology - Diagnostic Radiology | 2026006949 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036178029 (Illinois) | Secondary |
| 208D00000X | General Practice | 33917 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 33917 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Specialists In Medical Imaging Sc | 2163733544 | 228 |
| Blessing Hospital | 3072422534 | 414 |
| Radiology Alliance Pc | 1850280470 | 449 |
| Louisville Radiology Imaging Consultants Pllc | 2264436120 | 103 |
| Blessing Hospital | 3072422534 | 414 |
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. Dr Addison F Jacobs allows following entities to bill medicare on his behalf.
| Entity Name | Specialists in Medical Imaging, SC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20151124000342 |
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| Entity Name | Imaging Associates of Indiana PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20161010001163 |
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| Entity Name | Imaging Associates of Michigan PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164943007 PECOS PAC ID: 9537434386 Enrollment ID: O20171011000506 |
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| Entity Name | Blessing Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
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| Entity Name | Louisville Radiology Imaging Consultants PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639115447 PECOS PAC ID: 2264436120 Enrollment ID: O20200323000357 |
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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. Dr Addison F Jacobs 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 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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