Erick Samuel Jacobson-dunlop, MD - Medicare Pathology in St Louis Park, MN

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Erick Samuel Jacobson-dunlop, MD is a medicare enrolled "Pathology - Dermatopathology" physician in St Louis Park, Minnesota. He went to Oregon Health Sciences University School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Park Nicollet Clinic and his current practice location is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3123.

Erick Samuel Jacobson-dunlop is licensed to practice in Minnesota (license number 557781) 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 1538301973.

Contact Information

Erick Samuel Jacobson-dunlop, MD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527
(952) 993-3123
Not Available

Map and Direction




Physician's Profile

Full NameErick Samuel Jacobson-dunlop
GenderMale
SpecialityPathology
Experience16 Years
Location3800 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Erick Samuel Jacobson-dunlop attended and graduated from Oregon Health Sciences University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1538301973
  • Provider Enumeration Date: 03/31/2009
  • Last Update Date: 07/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365697281
  • Enrollment ID: I20140611002095

Medical Identifiers

Medical identifiers for Erick Samuel Jacobson-dunlop such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538301973NPI-NPPES
1538301973MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZD0900XPathology - Dermatopathology MD41691 (Iowa)Secondary
207ZD0900XPathology - Dermatopathology MD161051 (Oregon)Secondary
207ZD0900XPathology - Dermatopathology 557781 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381611

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. Erick Samuel Jacobson-dunlop allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameDermatology Specialists, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992752117
PECOS PAC ID: 1456248137
Enrollment ID: O20040413000263

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. Erick Samuel Jacobson-dunlop 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
Erick Samuel Jacobson-dunlop, MD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -		Erick Samuel Jacobson-dunlop, MD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527

Ph: (952) 993-3123

Reviews and Comments


Pathology Doctors in St Louis Park, MN

Heather Kirkham,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426
Phone: 952-993-3123    
Robert William Werling, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-1999    Fax: 952-993-1078
Rao Fu Watson, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Keely Dinse, DO
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    Fax: 952-932-6090

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.