Jacob John Verhoeven, PA-C - Medicare Physician Assistant in Modesto, CA

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Jacob John Verhoeven, PA-C is a medicare enrolled "Physician Assistant" in Modesto, California. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Chanukya Dasari Md A Professional Corporation and his current practice location is 1700 Coffee Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 526-4500.

Jacob John Verhoeven is licensed to practice in California (license number ) 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 1306317987.

Contact Information

Jacob John Verhoeven, PA-C
1700 Coffee Rd,
Modesto, CA 95355-2803
(209) 526-4500
Not Available

Map and Direction




Provider's Profile

Full NameJacob John Verhoeven
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location1700 Coffee Rd, Modesto, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob John Verhoeven graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1306317987
  • Provider Enumeration Date: 12/08/2018
  • Last Update Date: 12/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4284967076
  • Enrollment ID: I20190611000360

Medical Identifiers

Medical identifiers for Jacob John Verhoeven such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306317987NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chanukya Dasari Md A Professional Corporation822452617311

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. Jacob John Verhoeven allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameSan Joaquin Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588960413
PECOS PAC ID: 6305022047
Enrollment ID: O20110516000103
Entity NameMing-wei Wu Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699975144
PECOS PAC ID: 4284726159
Enrollment ID: O20220223000023
Entity NameProfessional Wound Specialists PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437988326
PECOS PAC ID: 2062946163
Enrollment ID: O20241112003749
Entity NameChanukya Dasari MD a Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942184817
PECOS PAC ID: 8224526173
Enrollment ID: O20251022002867

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. Jacob John Verhoeven 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
Jacob John Verhoeven, PA-C
1700 Coffee Rd,
Modesto, CA 95355-2803

Ph: (209) 526-4500		Jacob John Verhoeven, PA-C
1700 Coffee Rd,
Modesto, CA 95355-2803

Ph: (209) 526-4500

Reviews and Comments


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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.