Mr Jacob Christian Harle, DPT, ATC is a medicare enrolled "Physical Therapist" physician in Saint Paul, Minnesota. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2021 and has 4 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Infinite Health Collaborative, Pa and his current practice location is
30 Fairview Ave S Ste 200, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 835-4512.
Mr Jacob Christian Harle is licensed to practice in Iowa (license number 109035) 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 1740779057.
Physician's Profile
| Full Name | Mr Jacob Christian Harle |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 4 Years |
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| Location | 30 Fairview Ave S Ste 200, Saint Paul, Minnesota |
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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:
- Mr Jacob Christian Harle attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2021
NPI Data:
- NPI Number: 1740779057
- Provider Enumeration Date: 05/02/2018
- Last Update Date: 11/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840645719
- Enrollment ID: I20240229000214
Medical Identifiers
Medical identifiers for Mr Jacob Christian Harle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740779057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 13311 (Minnesota) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 109035 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Infinite Health Collaborative, Pa | 1052225042 | 803 |
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. Mr Jacob Christian Harle allows following entities to bill medicare on his behalf.
| Entity Name | Infinite Health Collaborative, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
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| Entity Name | Impact Physical Medicine And Aquatic Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457417131 PECOS PAC ID: 0840287975 Enrollment ID: O20040429000512 |
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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. Mr Jacob Christian Harle 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 |
Mr Jacob Christian Harle, DPT, ATC 1039 Blair Ave, Saint Paul, MN 55104-2117 Ph: (641) 512-4594 | Mr Jacob Christian Harle, DPT, ATC 30 Fairview Ave S Ste 200, Saint Paul, MN 55105-1463 Ph: (952) 835-4512 |
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