Jacob Blotter, MD - Medicare Diagnostic Radiology in Jber, AK

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Jacob Blotter, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jber, Alaska. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radia Inc P S, Radia Inc P S, Alaska Native Tribal Health Consortium and his current practice location is 673 Mdg 5955 Zeamer Ave, Jber, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 580-6334.

Jacob Blotter is licensed to practice in Alaska (license number 233576) 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 1588282396.

Contact Information

Jacob Blotter, MD
673 Mdg 5955 Zeamer Ave,
Jber, AK 99506
(907) 580-6334
Not Available

Map and Direction




Physician's Profile

Full NameJacob Blotter
GenderMale
SpecialityDiagnostic Radiology
Experience6 Years
Location673 Mdg 5955 Zeamer Ave, Jber, Alaska
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:
  • Jacob Blotter graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1588282396
  • Provider Enumeration Date: 07/08/2020
  • Last Update Date: 07/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5395242432
  • Enrollment ID: I20251231002506

Medical Identifiers

Medical identifiers for Jacob Blotter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588282396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 233576 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alaska Native Medical CenterAnchorage, AKHospital
Peacehealth Southwest Medical CenteVancouver, WAHospital
Legacy Salmon Creek Medical CenterVancouver, WAHospital
Providence St Peter HospitalOlympia, WAHospital
Peacehealth St John Medical CenterLongview, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radia Inc P S9931012812275
Radia Inc P S9931012812275
Alaska Native Tribal Health Consortium6709780265605

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. Jacob Blotter allows following entities to bill medicare on his behalf.
Entity NameRadia Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932196607
PECOS PAC ID: 9931012812
Enrollment ID: O20190305000322

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. Jacob Blotter 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
Jacob Blotter, MD
673 Mdg 5955 Zeamer Ave,
Jber, AK 99506

Ph: Not Available		Jacob Blotter, MD
673 Mdg 5955 Zeamer Ave,
Jber, AK 99506

Ph: (907) 580-6334

Reviews and Comments


Radiology Doctors in Jber, AK

Eldon Snyder, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5955 Zeamer Ave, Jber, AK 99506
Phone: 907-580-6760    
Dennis Dean Walker, DO
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506
Phone: 907-580-6760    
Darren Layne Shirley, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5955 Zeamer Ave, 673d Mdg,, Jber, AK 99506
Phone: 907-580-6746    

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.