Robert G Jacoby, MD in Blaine, MN

Robert G Jacoby, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Blaine, Minnesota. He went to Washington University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Neurology. He is a member of the group practice The Charlotte Hungerford Hospital, San Juan Regional Medical Center, Inc. and his current practice location is 11091 Ulysses Street, Suite 100, Blaine, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 879-1000.

Robert G Jacoby is licensed to practice in Minnesota (license number 37807) 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 1518961531.

Contact Information

	Robert G Jacoby, MD
	11091 Ulysses Street, Suite 100, Blaine, MN 55434
	(612) 879-1000
	(612) 879-0782

Map and Direction

Physician's Profile

Full Name	Robert G Jacoby
Gender	Male
Speciality	Neurology
Experience	35 Years
Location	11091 Ulysses Street, Blaine, Minnesota
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:

Robert G Jacoby attended and graduated from Washington University School Of Medicine in 1989

NPI Data:

NPI Number: 1518961531
Provider Enumeration Date: 06/08/2005
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9032003462
Enrollment ID: I20230303001822

Medical Identifiers

Medical identifiers for Robert G Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518961531	NPI	-	NPPES
160230600	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	MD2023-0126 (New Mexico)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	37807 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Juan Regional Medical Center	Farmington, NM	Hospital
Charlotte Hungerford Hospital	Torrington, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Charlotte Hungerford Hospital	4486557501	159
San Juan Regional Medical Center, Inc.	4587559505	177

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. Robert G Jacoby allows following entities to bill medicare on his behalf.

Entity Name	The Charlotte Hungerford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183

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. Robert G Jacoby 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
Robert G Jacoby, MD 2300 Miami Valley Dr, Ste 550, Centerville, OH 45459-1298 Ph: (937) 438-7500	Robert G Jacoby, MD 11091 Ulysses Street, Suite 100, Blaine, MN 55434 Ph: (612) 879-1000

Reviews and Comments

Psychiatry & Neurology Doctors in Blaine, MN

Dr. Beth Ann Staab, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11091 Ulysses St, Suite 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-9116
Dr. Shelly Lea Larson-peters, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11091 Ulysses St, Suite 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-9116
Dennis Taylor Jorgenson-rathke, PA-C Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11091 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-0722
Tacjana Krystyna Eich Friday, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11091 Ulysses St Ne Ste 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-9116
Ana P Groeschel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11091 Ulysses Street Ne, Suite 100, Blaine, MN 55434 Phone: 612-879-1000 Fax: 612-879-0722
Chad D. Evans, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11091 Ulysses St Ne, Suite 100, Blaine, MN 55407 Phone: 612-879-1000 Fax: 612-879-0722

Robert G Jacoby, MD - Medicare Neurology in Blaine, MN