Dr Blake Jacobs, MD in Springfield, MO - Medicare Internal Medicine

Dr Blake Jacobs, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Springfield, Missouri. His current practice location is 3800 S National Ave Ste 510, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 875-3160.

Dr Blake Jacobs is licensed to practice in Missouri (license number 2025013440) 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 1588191498.

Contact Information

	Dr Blake Jacobs, MD
	3800 S National Ave Ste 510, Springfield, MO 65807-5284
	(417) 875-3160
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Blake Jacobs
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	3800 S National Ave Ste 510, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588191498
Provider Enumeration Date: 05/23/2017
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 4082943394
Enrollment ID: I20190912000564

Medical Identifiers

Medical identifiers for Dr Blake Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588191498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	2025013440 (Missouri)	Primary
207R00000X	Internal Medicine	2025013440 (Oklahoma)	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. Dr Blake Jacobs allows following entities to bill medicare on his behalf.

Entity Name	Board Of Regents Of The University Of Oklahoma - Ou Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607

Entity Name	Premier Hospitalists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760702153 PECOS PAC ID: 1254457203 Enrollment ID: O20100927001236

Entity Name	Ou Health Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618

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 Blake 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 Blake Jacobs, MD Po Box 7411626, Chicago, IL 60674-5626 Ph: () -	Dr Blake Jacobs, MD 3800 S National Ave Ste 510, Springfield, MO 65807-5284 Ph: (417) 875-3160

Reviews and Comments

Internal Medicine Doctors in Springfield, MO

Mr. Sujan Poudel, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600
Dr. Mark H. Grimm, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711
Bradley D Wiley, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051
Walter S. Trombold, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778
Ghulam Jeelani Siddiqui, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220
Danny R Penick, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000
Dr. Anne Marsh Egbert, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001

Dr Blake Jacobs, MD - Medicare Internal Medicine in Springfield, MO