Dr Pamela Jean Jacobson, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Montevideo, Minnesota. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Woodland Centers and her current practice location is
517 N 17th St, Montevideo, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 269-6581.
Dr Pamela Jean Jacobson is licensed to practice in Minnesota (license number LP5828) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255683066.
Healthcare Provider's Profile
| Full Name | Dr Pamela Jean Jacobson |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 517 N 17th St, Montevideo, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Pamela Jean Jacobson graduated from medical school in 2013
NPI Data:
- NPI Number: 1255683066
- Provider Enumeration Date: 10/04/2012
- Last Update Date: 12/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 7113246257
- Enrollment ID: I20150512000967
Medical Identifiers
Medical identifiers for Dr Pamela Jean Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255683066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | LP5828 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Woodland Centers | 7416860457 | 29 |
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. Dr Pamela Jean Jacobson allows following entities to bill medicare on her behalf.
| Entity Name | Woodland Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295818862
PECOS PAC ID: 7416860457
Enrollment ID: O20031106000600 |
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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. Dr Pamela Jean 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 |
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Dr Pamela Jean Jacobson, PSYD, LP
Po Box 787,
Willmar, MN 56201-0787
Ph: (320) 235-4613 | Dr Pamela Jean Jacobson, PSYD, LP
517 N 17th St,
Montevideo, MN 56265-3067
Ph: (320) 269-6581 |
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