Dr Jacob Lee Henrichsen, MD is a medicare enrolled "Orthopaedic Surgery" physician in Safford, Arizona. His current practice location is
2270 W 16th St, Safford, Arizona. You can reach out to his office (for appointments etc.) via phone at
(319) 365-2223.
Dr Jacob Lee Henrichsen is licensed to practice in Iowa (license number R-11638) 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 1972162626.
Physician's Profile
| Full Name | Dr Jacob Lee Henrichsen |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 2270 W 16th St, Safford, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972162626
- Provider Enumeration Date: 06/06/2019
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638404700
- Enrollment ID: I20240611003223
Medical Identifiers
Medical identifiers for Dr Jacob Lee Henrichsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972162626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | R-11638 (Iowa) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | R-11638 (Iowa) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | R-11638 (Iowa) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | R-11638 (Iowa) | Secondary |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | R-11638 (Iowa) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | R-11638 (Iowa) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | R-11638 (Iowa) | Secondary |
| 207X00000X | Orthopaedic Surgery | R-11638 (Iowa) | 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. Dr Jacob Lee Henrichsen allows following entities to bill medicare on his behalf.
| Entity Name | Mt Graham Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275588345
PECOS PAC ID: 6204822364
Enrollment ID: O20040423000105 |
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| Entity Name | Mt Graham Regional Medical Center Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1275588345
PECOS PAC ID: 6204822364
Enrollment ID: O20201016000847 |
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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 Jacob Lee Henrichsen 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 |
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Dr Jacob Lee Henrichsen, MD
2270 W 16th St,
Safford, AZ 85546-4081
Ph: () - | Dr Jacob Lee Henrichsen, MD
2270 W 16th St,
Safford, AZ 85546-4081
Ph: (319) 365-2223 |
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