Dr Jacob D Shank, MD - Medicare Emergency Medicine in Cottonwood, AZ

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Dr Jacob D Shank, MD is a medicare enrolled "Emergency Medicine" physician in Cottonwood, Arizona. He went to Tulane University School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Group Of Arizona Professional Corporation, Flagstaff Emergency Physicians and his current practice location is 269 S Candy Ln, Cottonwood, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 639-6172.

Dr Jacob D Shank is licensed to practice in Arizona (license number 49186) 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 1780983312.

Contact Information

Dr Jacob D Shank, MD
269 S Candy Ln,
Cottonwood, AZ 86326-4158
(928) 639-6172
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob D Shank
GenderMale
SpecialityEmergency Medicine
Experience14 Years
Location269 S Candy Ln, Cottonwood, Arizona
Accepts Medicare AssignmentsYes. 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 Jacob D Shank attended and graduated from Tulane University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1780983312
  • Provider Enumeration Date: 03/22/2011
  • Last Update Date: 08/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8325267594
  • Enrollment ID: I20140920000338

Medical Identifiers

Medical identifiers for Dr Jacob D Shank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780983312NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 49186 (Arizona)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Verde Valley Medical CenterCottonwood, AZHospital
Arrowhead HospitalGlendale, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Group Of Arizona Professional Corporation135559664482
Flagstaff Emergency Physicians286038081333

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 Jacob D Shank allows following entities to bill medicare on his behalf.
Entity NameFlagstaff Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073683991
PECOS PAC ID: 2860380813
Enrollment ID: O20040310000370
Entity NameEmergency Group Of Arizona Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215275433
PECOS PAC ID: 1355596644
Enrollment ID: O20130313000442
Entity NameSound Physicians Emergency Medicine Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700328663
PECOS PAC ID: 5799066650
Enrollment ID: O20170109000725
Entity NameArizona Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860674
PECOS PAC ID: 6204113970
Enrollment ID: O20170505001284
Entity NameNorthern Arizona Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409
Entity NameSteward Emergency Physicians Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558827998
PECOS PAC ID: 4486995420
Enrollment ID: O20190401001375

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 Jacob D Shank 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
Dr Jacob D Shank, MD
269 S Candy Ln,
Cottonwood, AZ 86326-4158

Ph: (928) 639-6172		Dr Jacob D Shank, MD
269 S Candy Ln,
Cottonwood, AZ 86326-4158

Ph: (928) 639-6172

Reviews and Comments


Emergency Medicine Doctors in Cottonwood, AZ

Vincent Edward Furrey, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6164    
Connie Strouse,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    
Dr. Autumn Jean Ray, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    
Dr. Frances Catherine Schlatter, M.D
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    
Corrine Walker, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    
Elizabeth Lightner Mccarrell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Lane, Cottonwood, AZ 86326
Phone: 928-634-2251    
David Piatt, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    

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).

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