Dr Jon R Jacobson, DO - Medicare Preventive Medicine in O Fallon, IL

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Dr Jon R Jacobson, DO is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in O Fallon, Illinois. His current practice location is 1512 N Green Mount Rd, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 628-8440.

Dr Jon R Jacobson is licensed to practice in Illinois (license number 036149530) 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 1780753822.

Contact Information

Dr Jon R Jacobson, DO
1512 N Green Mount Rd,
O Fallon, IL 62269-2083
(618) 628-8440
Not Available

Map and Direction




Physician's Profile

Full NameDr Jon R Jacobson
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location1512 N Green Mount Rd, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780753822
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 12/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284966706
  • Enrollment ID: I20191101000222

Medical Identifiers

Medical identifiers for Dr Jon R Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780753822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 036149530 (Illinois)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 Jon R Jacobson allows following entities to bill medicare on his behalf.
Entity NameHshs Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275

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 Jon R Jacobson 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 Jon R Jacobson, DO
1512 N Green Mount Rd,
O Fallon, IL 62269-2083

Ph: (618) 628-8440		Dr Jon R Jacobson, DO
1512 N Green Mount Rd,
O Fallon, IL 62269-2083

Ph: (618) 628-8440

Reviews and Comments


Preventive Medicine Doctors in O Fallon, IL

Dr. Nicholas G Lezama, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 901 Thornbury Pl, O Fallon, IL 62269
Phone: 618-229-5220    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.