Jacob Ross, FNP- C in Medford, OR - Medicare Nurse Practitioner

Jacob Ross, FNP- C is a medicare enrolled "Nurse Practitioner - Family" in Medford, Oregon. His current practice location is 1600 Delta Waters Rd Ste 107, Medford, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 858-2515.

Jacob Ross is licensed to practice in Oregon (license number 10031846) 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 1770355851.

Contact Information

	Jacob Ross, FNP- C
	1600 Delta Waters Rd Ste 107, Medford, OR 97504-9114
	(541) 858-2515
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Ross
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1600 Delta Waters Rd Ste 107, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770355851
Provider Enumeration Date: 10/23/2023
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3577914043
Enrollment ID: I20240109002614

Medical Identifiers

Medical identifiers for Jacob Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770355851	NPI	-	NPPES
10031846	Other	OR	OREGON NURSING LICENSE
500841831	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	10031846 (Oregon)	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. Jacob Ross allows following entities to bill medicare on his behalf.

Entity Name	Copperview Medical Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316970924 PECOS PAC ID: 4284538976 Enrollment ID: O20031124000640

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 Ross 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
Jacob Ross, FNP- C 815 N Central Ave Ste C, Medford, OR 97501-5873 Ph: (541) 734-9030	Jacob Ross, FNP- C 1600 Delta Waters Rd Ste 107, Medford, OR 97504-9114 Ph: (541) 858-2515

Reviews and Comments

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Jacob Ross, FNP- C - Medicare Nurse Practitioner in Medford, OR