Timothy Dale Jacobson, DDS - Medicare Dentist in Saint Cloud, MN

Timothy Dale Jacobson, DDS is a medicare enrolled "Dentist" provider in Saint Cloud, Minnesota. His current practice location is 1411 W Saint Germain St, Suite #103, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 253-2121.

Timothy Dale Jacobson is licensed to practice in Minnesota (license number 11661) 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 1326113127.

Contact Information

Timothy Dale Jacobson, DDS
1411 W Saint Germain St, Suite #103,
Saint Cloud, MN 56301-4121
(320) 253-2121
Not Available



Healthcare Provider's Profile

Full NameTimothy Dale Jacobson
GenderMale
SpecialityDentist
Location1411 W Saint Germain St, Saint Cloud, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326113127
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7315228707
  • Enrollment ID: I20161222001245

Medical Identifiers

Medical identifiers for Timothy Dale Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326113127NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 11661 (Minnesota)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. Timothy Dale 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 AddressPractice Location Address
Timothy Dale Jacobson, DDS
1411 W Saint Germain St, Suite #103,
Saint Cloud, MN 56301-4121

Ph: (320) 253-2121
Timothy Dale Jacobson, DDS
1411 W Saint Germain St, Suite #103,
Saint Cloud, MN 56301-4121

Ph: (320) 253-2121

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› Verified 5 days ago


Dentist in Saint Cloud, MN

Donald M. Primley, D.D.S., M.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303
Phone: 320-252-3611    Fax: 320-252-7574
Dr. Catherine Elaine Wurm, DDS, MS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1521 Northway Dr, Suite 115, Saint Cloud, MN 56303
Phone: 320-656-1456    Fax: 320-656-0195
Dr. Sean Philip Welander, D.D.S.
Dentist
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Veterans Dr Ste 100, Saint Cloud, MN 56303
Phone: 320-252-3611    Fax: 320-252-7574
Rebecca Ann Hanson, D.D.S., M.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1411 W Saint Germain St, Suite 104, Saint Cloud, MN 56301
Phone: 320-255-1111    Fax: 320-255-1602
Dr. Funsho Afoluke Akinluyi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4128 2nd St S, Saint Cloud, MN 56301
Phone: 320-774-2566    
Dr. Aaron Daniel Imdieke, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Maine Prairie Rd, Saint Cloud, MN 56301
Phone: 320-252-6233    Fax: 320-252-9261
Dr. Michael Jerome Schiff, D.D.S.
Dentist
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303
Phone: 320-252-3611    Fax: 320-252-7574

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