Jacob Otto Boeckmann, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Laguna Niguel, California. His current practice location is
25500 Rancho Niguel Rd Ste 120, Laguna Niguel, California. You can reach out to his office (for appointments etc.) via phone at
(949) 273-3112.
Jacob Otto Boeckmann is licensed to practice in California (license number A123972) 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 1861666703.
Physician's Profile
| Full Name | Jacob Otto Boeckmann |
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| Gender | Male |
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| Speciality | Otolaryngology - Facial Plastic Surgery |
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| Location | 25500 Rancho Niguel Rd Ste 120, Laguna Niguel, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861666703
- Provider Enumeration Date: 04/22/2008
- Last Update Date: 06/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 3577702083
- Enrollment ID: I20130613000185
Medical Identifiers
Medical identifiers for Jacob Otto Boeckmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861666703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | A123972 (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 Otto Boeckmann allows following entities to bill medicare on his behalf.
| Entity Name | University Head & Neck Surgeons |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669437075
PECOS PAC ID: 9032191788
Enrollment ID: O20040604000997 |
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| Entity Name | Richard A. Gangnes M.d. Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568495562
PECOS PAC ID: 4385648666
Enrollment ID: O20060828000525 |
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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 Otto Boeckmann 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 |
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Jacob Otto Boeckmann, MD
25500 Rancho Niguel Rd Ste 120,
Laguna Niguel, CA 92677-7388
Ph: (949) 276-3112 | Jacob Otto Boeckmann, MD
25500 Rancho Niguel Rd Ste 120,
Laguna Niguel, CA 92677-7388
Ph: (949) 273-3112 |
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