Paul B Jacobsen, PHD in Tampa, FL - Medicare Psychologist Provider

Paul B Jacobsen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tampa, Florida. His current practice location is 12902 Usf Magnolia Dr, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 745-4673.

Paul B Jacobsen is licensed to practice in Florida (license number PY5272) 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 1720007446.

Contact Information

	Paul B Jacobsen, PHD
	12902 Usf Magnolia Dr, Tampa, FL 33612-9416
	(813) 745-4673
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Paul B Jacobsen
Gender	Male
Speciality	Psychologist - Clinical
Location	12902 Usf Magnolia Dr, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720007446
Provider Enumeration Date: 07/19/2006
Last Update Date: 02/26/2008

Medicare PECOS Information:

PECOS PAC ID: 5395815757
Enrollment ID: I20080528000615

Medical Identifiers

Medical identifiers for Paul B Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720007446	NPI	-	NPPES
59792	Other	FL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY5272 (Florida)	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. Paul B Jacobsen allows following entities to bill medicare on his behalf.

Entity Name	H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575

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. Paul B Jacobsen 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
Paul B Jacobsen, PHD Po Box 917770, Orlando, FL 32891-7770 Ph: () -	Paul B Jacobsen, PHD 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-4673

Reviews and Comments

Psychologist in Tampa, FL

Dr. Vincent E. Parr, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5201 W Kennedy Blvd, Suite 615, Tampa, FL 33609 Phone: 813-235-4270 Fax: 813-319-5804
Rebecca Chermak, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5 Tampa General Cir Ste 410, Tampa, FL 33606 Phone: 813-844-7473
Ana Alonso, S.S.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629 Phone: 813-381-5200
Dr. Daniel Weitzner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd Fl 33612, Tampa, FL 33612 Phone: 813-972-2000
Lawrence Neal Pasman, PH.D., P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14021 N Dale Mabry Hwy, Tampa, FL 33618 Phone: 813-265-1934 Fax: 813-264-0589
Dr. Sara L. Sterling, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14502 N Dale Mabry Hwy, Suite 200, Tampa, FL 33618 Phone: 813-963-5771 Fax: 866-371-3254
Dr. Olga O Skalkos, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2701 W Busch Blvd, Suite 132, Tampa, FL 33618 Phone: 813-920-4811

Paul B Jacobsen, PHD - Medicare Psychologist in Tampa, FL