Jacoby Jacobsen, DO - Medicare Orthopaedic Surgery in Toledo, OH

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Jacoby Jacobsen, DO is a medicare enrolled "Orthopaedic Surgery" physician in Toledo, Ohio. His current practice location is 2213 Cherry St, Toledo, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 251-6596.

Jacoby Jacobsen is licensed to practice in Utah (license number 11722081-1204) 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 1003231952.

Contact Information

Jacoby Jacobsen, DO
2213 Cherry St,
Toledo, OH 43608-2603
(419) 251-6596
(419) 251-6849

Map and Direction




Physician's Profile

Full NameJacoby Jacobsen
GenderMale
SpecialityOrthopaedic Surgery
Location2213 Cherry St, Toledo, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003231952
  • Provider Enumeration Date: 03/02/2014
  • Last Update Date: 10/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7214221217
  • Enrollment ID: I20200610003283

Medical Identifiers

Medical identifiers for Jacoby Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003231952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 11722081-1204 (Utah)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. Jacoby Jacobsen allows following entities to bill medicare on his behalf.
Entity NameShriners Hospitals For Children
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396187282
PECOS PAC ID: 9133031933
Enrollment ID: O20140703000851
Entity NameUniversity Of Utah Pediatric Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487018974
PECOS PAC ID: 0547552473
Enrollment ID: O20160713000371

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. Jacoby Jacobsen 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
Jacoby Jacobsen, DO
2213 Cherry St,
Toledo, OH 43608-2603

Ph: (419) 251-6596		Jacoby Jacobsen, DO
2213 Cherry St,
Toledo, OH 43608-2603

Ph: (419) 251-6596

Reviews and Comments


Orthopaedic Surgery Doctors in Toledo, OH

Zachary William Fulton, DO
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: Mercy St. Vincent Medical Center, 2409 Cherry St., Mob 1, Suite 10, Toledo, OH 43608
Phone: 419-251-6553    Fax: 419-251-9672
Christopher Jackson, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2213 Cherry St, Toledo, OH 43608
Phone: 567-290-6543    
Kyle Allen Andrews, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Hughes Dr # 310, Toledo, OH 43606
Phone: 419-291-3858    Fax: 419-480-8701
Dr. Abdul Azim Mustapha, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Arlington Ave, Orthopedic Surgery, Toledo, OH 43614
Phone: 419-383-3761    Fax: 419-383-2933
Dr. John Vernon Houghtaling, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2865 N Reynolds Rd, Building A, Toledo, OH 43615
Phone: 419-578-7200    
Dr. Kraig Alan Kristof, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4235 Secor Rd, Toledo, OH 43623
Phone: 419-479-5424    Fax: 419-479-5425

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.