Mr Jacob Andrew Robertson, PA-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Englewood, Colorado. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 2026 and has 0 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
601 E Hampden Ave Ste 470, Englewood, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 788-3150.
Mr Jacob Andrew Robertson is licensed to practice in NU (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1922564913.
Provider's Profile
| Full Name | Mr Jacob Andrew Robertson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 601 E Hampden Ave Ste 470, Englewood, Colorado |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jacob Andrew Robertson attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2026
NPI Data:
- NPI Number: 1922564913
- Provider Enumeration Date: 02/14/2019
- Last Update Date: 03/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 9931539095
- Enrollment ID: I20230207000851
Medical Identifiers
Medical identifiers for Mr Jacob Andrew Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922564913 | NPI | - | NPPES |
| 024715-01 | Other | NY | NEW YORK STATE LICENSE |
| PA9116481 | Other | FL | FLORIDAPALICENSE |
| 1160504 | Other | | NCCPA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9116481 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
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. Mr Jacob Andrew Robertson 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 |
|---|
Mr Jacob Andrew Robertson, PA-C
601 E Hampden Ave Ste 470,
Englewood, CO 80113-2797
Ph: (303) 788-3150 | Mr Jacob Andrew Robertson, PA-C
601 E Hampden Ave Ste 470,
Englewood, CO 80113-2797
Ph: (303) 788-3150 |
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