Dr Jonathan M Jacobson, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Rutland, Massachusetts. His current practice location is
60 Miles Rd, Rutland, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 886-4746.
Dr Jonathan M Jacobson is licensed to practice in Massachusetts (license number 227913) 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 1336196716.
Physician's Profile
| Full Name | Dr Jonathan M Jacobson |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 60 Miles Rd, Rutland, Massachusetts |
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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: 1336196716
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 09/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 8224276506
- Enrollment ID: I20130528000325
Medical Identifiers
Medical identifiers for Dr Jonathan M Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336196716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 227913 (Massachusetts) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 227913 (Massachusetts) | Primary |
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 Jonathan M 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 Address | Practice Location Address |
Dr Jonathan M Jacobson, MD 148 Worcester St, West Boylston, MA 01583-1751 Ph: (508) 835-1735 | Dr Jonathan M Jacobson, MD 60 Miles Rd, Rutland, MA 01543-1423 Ph: (508) 886-4746 |
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