Dr Roland W Jacobs, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Valdez, New Mexico. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1979 and has 45 years of diverse experience with area of expertise as Psychiatry. His current practice location is
150 Cerrito-colorado Rd., Valdez, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 770-7892.
Dr Roland W Jacobs is licensed to practice in New Mexico (license number 91-225) 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 1497762694.
Physician's Profile
Full Name | Dr Roland W Jacobs |
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Gender | Male |
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Speciality | Psychiatry |
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Experience | 45 Years |
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Location | 150 Cerrito-colorado Rd., Valdez, New Mexico |
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Accepts Medicare Assignments | Yes. 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 Roland W Jacobs attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1979
NPI Data:
- NPI Number: 1497762694
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 08/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113997123
- Enrollment ID: I20040804001273
Medical Identifiers
Medical identifiers for Dr Roland W Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497762694 | NPI | - | NPPES |
8129228 | Medicaid | CA | |
900521077 | Other | CA | PROVIDER # |
WG43460B | Other | CA | INDIVIDUAL PTAN |
80077226 | Medicaid | NM | |
WG43460B | Other | CA | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | G43460 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 91-225 (New Mexico) | 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 Roland W Jacobs allows following entities to bill medicare on his behalf.
Entity Name | Roland W Jacobs Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861401705 PECOS PAC ID: 3072583079 Enrollment ID: O20040728000243 |
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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 Roland W Jacobs 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 Roland W Jacobs, MD Po Box 1770, El Prado, NM 87529-1770 Ph: (575) 770-7892 | Dr Roland W Jacobs, MD 150 Cerrito-colorado Rd., Valdez, NM 87580 Ph: (575) 770-7892 |
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