Jacob Kjelland, MD in Travis Afb, CA - Medicare Internal Medicine

Jacob Kjelland, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-5129.

Jacob Kjelland is licensed to practice in California (license number A145633) 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 1043604606.

Contact Information

	Jacob Kjelland, MD
	101 Bodin Cir, Travis Afb, CA 94535-1800
	(707) 423-5129
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Kjelland
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043604606
Provider Enumeration Date: 03/22/2015
Last Update Date: 10/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3072880541
Enrollment ID: I20231013001685

Medical Identifiers

Medical identifiers for Jacob Kjelland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043604606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A145633 (California)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	A145633 (California)	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 Kjelland allows following entities to bill medicare on his behalf.

Entity Name	Northbay Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409

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 Kjelland 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 Kjelland, MD 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (707) 423-5129	Jacob Kjelland, MD 101 Bodin Cir, Travis Afb, CA 94535-1800 Ph: (707) 423-5129

Reviews and Comments

Internal Medicine Doctors in Travis Afb, CA

Dr. Leena M Joshi, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-5930
Cherie J Renaud, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300
Joseph Cameron Sky, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300
Mark Derasmo, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7342
David James Carlson, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-7496
Dr. Samuel Farrell, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000

Jacob Kjelland, MD - Medicare Internal Medicine in Travis Afb, CA