Trevor Dean Jacobson, MD in Montpelier, ID

Trevor Dean Jacobson, MD is a medicare enrolled "Family Medicine" physician in Montpelier, Idaho. He went to University Of Utah School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bear Lake County Memorial Hospital and his current practice location is 166 S 5th St, Montpelier, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 847-1110.

Trevor Dean Jacobson is licensed to practice in Idaho (license number M-12665) 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 1366677759.

Contact Information

	Trevor Dean Jacobson, MD
	166 S 5th St, Montpelier, ID 83254-4959
	(208) 847-1110
	(208) 847-0228

Map and Direction

Physician's Profile

Full Name	Trevor Dean Jacobson
Gender	Male
Speciality	Family Practice
Experience	15 Years
Location	166 S 5th St, Montpelier, Idaho
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:

Trevor Dean Jacobson attended and graduated from University Of Utah School Of Medicine in 2009

NPI Data:

NPI Number: 1366677759
Provider Enumeration Date: 05/28/2009
Last Update Date: 12/11/2014

Medicare PECOS Information:

PECOS PAC ID: 1052560661
Enrollment ID: I20141226000672

Medical Identifiers

Medical identifiers for Trevor Dean Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366677759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	M-12665 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bear Lake Memorial Hospital Home Health	Montpelier, ID	Home health agency
Bear Lake Memorial Hospital	Montpelier, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bear Lake County Memorial Hospital	5395799860	22

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. Trevor Dean Jacobson allows following entities to bill medicare on his behalf.

Entity Name	Bear Lake County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174741441 PECOS PAC ID: 5395799860 Enrollment ID: O20071003000677

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. Trevor Dean Jacobson 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
Trevor Dean Jacobson, MD Po Box 69, Montpelier, ID 83254-0069 Ph: (208) 847-1110	Trevor Dean Jacobson, MD 166 S 5th St, Montpelier, ID 83254-4959 Ph: (208) 847-1110

Reviews and Comments

Family Medicine Doctors in Montpelier, ID

Dr. Larry David Bomsta, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 467 Washington St, Montpelier, ID 83254 Phone: 208-847-0072 Fax: 208-847-0077
Noall E Wolff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 360 N 2nd St, Montpelier, ID 83254 Phone: 208-847-5834
Houston Reynolds, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-514-2529
Lance A Hansen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 Fax: 208-847-4336
Dr. Peter Melvin Crane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495
Clay I. Campbell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 So 5th St, Montpelier, ID 83254 Phone: 208-847-3847 Fax: 208-847-1620

Trevor Dean Jacobson, MD - Medicare Family Practice in Montpelier, ID