Dr Jacob Clawson, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Blackfoot, Idaho. His current practice location is
98 Poplar St, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 782-2475.
Dr Jacob Clawson is licensed to practice in Nebraska (license number 25611) 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 1497917728.
Physician's Profile
| Full Name | Dr Jacob Clawson |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 98 Poplar St, Blackfoot, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497917728
- Provider Enumeration Date: 06/27/2008
- Last Update Date: 03/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658618392
- Enrollment ID: I20190204000347
Medical Identifiers
Medical identifiers for Dr Jacob Clawson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497917728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25611 (Nebraska) | 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 Clawson allows following entities to bill medicare on his behalf.
| Entity Name | Bmh Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
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| Entity Name | Caribou Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
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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 Clawson 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 Jacob Clawson, MD 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 782-2475 | Dr Jacob Clawson, MD 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 782-2475 |
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