Casey Jacobson, PA-C in Bay Shore, NY - Medicare Physician Assistant

Casey Jacobson, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Bay Shore, New York. His current practice location is 301 E Main St, Bay Shore, New York. You can reach out to his office (for appointments etc.) via phone at (631) 968-3000.

Casey Jacobson is licensed to practice in New York (license number 029759) 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 1144921743.

Contact Information

	Casey Jacobson, PA-C
	301 E Main St, Bay Shore, NY 11706-8408
	(631) 968-3000
	Not Available

Physician's Profile

Full Name	Casey Jacobson
Gender	Male
Speciality	Physician Assistant - Medical
Location	301 E Main St, Bay Shore, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144921743
Provider Enumeration Date: 03/13/2023
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 9234504259
Enrollment ID: I20230405001057

Medical Identifiers

Medical identifiers for Casey Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144921743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	029759 (New York)	Secondary
363AM0700X	Physician Assistant - Medical	029759 (New York)	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. Casey 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
Casey Jacobson, PA-C 113 Truxton Rd, Dix Hills, NY 11746-6827 Ph: (631) 972-4952	Casey Jacobson, PA-C 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3000

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Casey Jacobson, PA-C - Medicare Physician Assistant in Bay Shore, NY