Jacob Blum, MD - Medicare Family Medicine in Fernandina Beach, FL

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Jacob Blum, MD is a medicare enrolled "Family Medicine" physician in Fernandina Beach, Florida. His current practice location is 1888 S 14th St, Credentialing Department, Fernandina Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 261-0922.

Jacob Blum is licensed to practice in Florida (license number ME60766) 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 1720047137.

Contact Information

Jacob Blum, MD
1888 S 14th St, Credentialing Department,
Fernandina Beach, FL 32034-3054
(904) 261-0922
(904) 277-8872

Map and Direction




Physician's Profile

Full NameJacob Blum
GenderMale
SpecialityFamily Medicine
Location1888 S 14th St, Fernandina Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720047137
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 12/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2062497555
  • Enrollment ID: I20140315000198

Medical Identifiers

Medical identifiers for Jacob Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720047137NPI-NPPES
P01374253OtherFLRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 28306 (Kentucky)Secondary
207Q00000XFamily Medicine ME60766 (Florida)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. Jacob Blum 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 Blum, MD
Po Box 45443,
Salt Lake City, UT 84145-0443

Ph: (904) 202-1032		Jacob Blum, MD
1888 S 14th St, Credentialing Department,
Fernandina Beach, FL 32034-3054

Ph: (904) 261-0922

Reviews and Comments


Family Medicine Doctors in Fernandina Beach, FL

Diana R Twiggs, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034
Phone: 904-261-0922    Fax: 904-277-8872
Kyle A Rezac, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1348 S 18th St Ste 100, Fernandina Beach, FL 32034
Phone: 904-261-0922    Fax: 904-390-7477
Dr. Edward Dominick Tribuzio, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1132 S 14th St, Fernandina Beach, FL 32034
Phone: 904-432-3061    Fax: 904-432-3062
Kedra Fields Williams, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 22439 Flora Parke Xing, Fernandina Beach, FL 32034
Phone: 904-648-8081    Fax: 904-648-8082
Dr. Nicole Marie Soos, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1348 S 18th St Ste 100, Fernandina Beach, FL 32034
Phone: 904-261-0922    Fax: 904-390-7477
David P Page, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 220 S 14th St, Fernandina Beach, FL 32034
Phone: 904-491-3688    Fax: 904-390-7450

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.