Jacob Hansen, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Apo, New York. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2017 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Summit Radiology P C, Northside Radiology Associates Llc, Henry County Memorial Hospital, Ella E M Brown Charitable Circle, Kayenta Alternative Rural Hospital and his current practice location is
Landstuhl Regional Medical Center, Unit 33100, Apo, New York. You can reach out to his office (for appointments etc.) via phone at
(314) 590-7604.
Jacob Hansen is licensed to practice in Georgia (license number 103836) 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 1942732342.
Physician's Profile
| Full Name | Jacob Hansen |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 9 Years |
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| Location | Landstuhl Regional Medical Center, Apo, New York |
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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:
- Jacob Hansen attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2017
NPI Data:
- NPI Number: 1942732342
- Provider Enumeration Date: 04/03/2017
- Last Update Date: 08/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 9638668486
- Enrollment ID: I20251030004379
Medical Identifiers
Medical identifiers for Jacob Hansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942732342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | DO4191 (Maine) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 05-52794 (Kansas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0102209386 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 38234 (New Hampshire) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 1991 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01096955A (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 103836 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Summit Radiology P C | 0143295410 | 101 |
| Northside Radiology Associates Llc | 4486555398 | 381 |
| Henry County Memorial Hospital | 6002724085 | 153 |
| Ella E M Brown Charitable Circle | 1254228745 | 172 |
| Kayenta Alternative Rural Hospital | 3678558129 | 60 |
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 Hansen allows following entities to bill medicare on his behalf.
| Entity Name | Northside Radiology Associates LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20040115000095 |
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| Entity Name | Northeast Georgia Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
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| Entity Name | Summit Radiology P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20200707000577 |
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| Entity Name | Ella E M Brown Charitable Circle |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043660467 PECOS PAC ID: 1254228745 Enrollment ID: O20250304002755 |
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| Entity Name | Tulsa X-ray Laboratory PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144211582 PECOS PAC ID: 6103302724 Enrollment ID: O20260515002731 |
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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. Jacob Hansen 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 |
Jacob Hansen, DO Po Box 95460, Cleveland, OH 44101-0033 Ph: (602) 581-6076 | Jacob Hansen, DO Landstuhl Regional Medical Center, Unit 33100, Apo, NY 09180-3100 Ph: (314) 590-7604 |
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