Thomas E Jacobsen, MD in Hettinger, ND - Medicare Family Medicine

Thomas E Jacobsen, MD is a medicare enrolled "Family Medicine" physician in Hettinger, North Dakota. His current practice location is 1000 Highway 12, Hettinger, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 567-4561.

Thomas E Jacobsen is licensed to practice in North Dakota (license number 2916) 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 1053405662.

Contact Information

	Thomas E Jacobsen, MD
	1000 Highway 12, Hettinger, ND 58639
	(701) 567-4561
	Not Available

Map and Direction

Physician's Profile

Full Name	Thomas E Jacobsen
Gender	Male
Speciality	Family Medicine
Location	1000 Highway 12, Hettinger, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053405662
Provider Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5092729269
Enrollment ID: I20080930000147

Medical Identifiers

Medical identifiers for Thomas E Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053405662	NPI	-	NPPES
123993	Other		WORKERS COMP
12564	Medicaid	ND
10775	Other		ND BC/BS
20818	Other		SIOUX VALLEY
3018140	Medicaid	WA
45034068812	Medicaid	NE
7774910	Medicaid	SD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2916 (North Dakota)	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. Thomas E Jacobsen allows following entities to bill medicare on his behalf.

Entity Name	Horizon Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356459382 PECOS PAC ID: 8921997933 Enrollment ID: O20040315000974

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. Thomas E 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 Address	Practice Location Address
Thomas E Jacobsen, MD 1100 Highway 12, Hettinger, ND 58639-7533 Ph: (701) 567-6130	Thomas E Jacobsen, MD 1000 Highway 12, Hettinger, ND 58639 Ph: (701) 567-4561

Reviews and Comments

Family Medicine Doctors in Hettinger, ND

Catherine E Shirek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
John P Joyce, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Robert E Grossman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Frank A Thorngren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Joseph M Mattson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561
Terrance R Mack, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561

Thomas E Jacobsen, MD - Medicare Family Medicine in Hettinger, ND