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 15 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.
Physician's Profile
Full Name | Erick Samuel Jacobson-dunlop |
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Gender | Male |
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Speciality | Pathology |
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Experience | 15 Years |
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Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
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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:
- 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.
Identifier | Type | State | Issuer |
1538301973 | NPI | - | NPPES |
1538301973 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZD0900X | Pathology - Dermatopathology | MD41691 (Iowa) | Secondary |
207ZD0900X | Pathology - Dermatopathology | MD161051 (Oregon) | Secondary |
207ZD0900X | Pathology - Dermatopathology | 557781 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Park Nicollet Clinic | 7911819438 | 1529 |
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 Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
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Entity Name | Dermatology Specialists, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992752117 PECOS PAC ID: 1456248137 Enrollment ID: O20040413000263 |
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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. 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 Address | Practice 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 |
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