Jacob Burton, DO - Medicare Anesthesiology in San Angelo, TX

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Jacob Burton, DO is a medicare enrolled "Anesthesiology" physician in San Angelo, Texas. His current practice location is 3501 Knickerbocker Rd, San Angelo, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 747-1511.

Jacob Burton is licensed to practice in Texas (license number V1043) 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 1104449917.

Contact Information

Jacob Burton, DO
3501 Knickerbocker Rd,
San Angelo, TX 76904-7610
(325) 747-1511
Not Available

Map and Direction




Physician's Profile

Full NameJacob Burton
GenderMale
SpecialityAnesthesiology
Location3501 Knickerbocker Rd, San Angelo, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104449917
  • Provider Enumeration Date: 05/27/2020
  • Last Update Date: 06/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7012331093
  • Enrollment ID: I20240828002588

Medical Identifiers

Medical identifiers for Jacob Burton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104449917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology V1043 (Texas)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. Jacob Burton allows following entities to bill medicare on his behalf.
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702
Entity NameThe University Of Texas Health Science Center At San Antonio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720051717
PECOS PAC ID: 0042128548
Enrollment ID: O20040607000664

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 Burton 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 Burton, DO
4045 Caroline Ln,
San Angelo, TX 76904-8205

Ph: (330) 284-6351		Jacob Burton, DO
3501 Knickerbocker Rd,
San Angelo, TX 76904-7610

Ph: (325) 747-1511

Reviews and Comments


Anesthesiology Doctors in San Angelo, TX

Robert Hamblen, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903
Phone: 325-658-1511    
Jonathan S Gipson, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903
Phone: 325-658-1511    
Emily Michelle Dodd, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903
Phone: 325-658-1511    
Dr. Kaylee Waldrep, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 120 E Harris Ave, San Angelo, TX 76903
Phone: 325-653-6741    
David Allen Vance, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 120 E Beauregard Ave, San Angelo, TX 76902
Phone: 325-658-1511    
Dr. Marius Vulcan, M.D.
Anesthesiology
Medicare: May Accept Medicare Assignments
Practice Location: 120 E Harris Ave, San Angelo, TX 76903
Phone: 325-657-5320    

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.