Charles A Jacobson, MD - Medicare Orthopaedic Surgery in Moscow, ID

Charles A Jacobson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Moscow, Idaho. His current practice location is 2500 W A St, Suite 201, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 883-2828.

Charles A Jacobson is licensed to practice in Idaho (license number M6567) 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 1760492656.

Contact Information

Charles A Jacobson, MD
2500 W A St, Suite 201,
Moscow, ID 83843-5065
(208) 883-2828
(208) 882-2179



Physician's Profile

Full NameCharles A Jacobson
GenderMale
SpecialityOrthopaedic Surgery
Location2500 W A St, Moscow, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760492656
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 08/04/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1456330927
  • Enrollment ID: I20091124000398

Medical Identifiers

Medical identifiers for Charles A Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760492656NPI-NPPES
0102784OtherWADEPT OF LABOR
002743901MedicaidID
1092733MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery M6567 (Idaho)Primary
207X00000XOrthopaedic Surgery 31851 (Washington)Secondary

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. Charles A Jacobson allows following entities to bill medicare on his behalf.
Entity NameInland Orthopaedic Surgery And Sports Medicine Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952877763
PECOS PAC ID: 5496091605
Enrollment ID: O20190116003808

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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. Charles A 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
Charles A Jacobson, MD
2500 W A St, Suite 201,
Moscow, ID 83843-5065

Ph: (208) 883-2828
Charles A Jacobson, MD
2500 W A St, Suite 201,
Moscow, ID 83843-5065

Ph: (208) 883-2828

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Cholesterol contributes to atherosclerosis - a condition that greatly increases the risk of heart attack and stroke - by suppressing the activity of a key protein that protects the heart and blood vessels, researchers at the Saint Louis University School of Medicine have found.

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Orthopaedic Surgery Doctors in Moscow, ID

Edwin M Tingstad, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W A St, Suite 201, Moscow, ID 83843
Phone: 208-883-2828    
Dr. Marvin Renell Kym, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2301 W A St, Moscow, ID 83843
Phone: 208-883-1135    Fax: 208-892-0174
Steven E Pennington, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 2500 W A St, Suite 201, Moscow, ID 83843
Phone: 208-883-2828    Fax: 208-882-2179
Dr. Aaron James Vandenbos, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W A St Ste 201, Moscow, ID 83843
Phone: 208-883-2828    Fax: 208-882-2179
Mathew Zane Taylor, M.D, M.P.H.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W A St Ste 201, Moscow, ID 83843
Phone: 208-883-2828    
Dr. Kyle J Hazelwood, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 W A St Ste 201, Moscow, ID 83843
Phone: 208-883-2828    Fax: 208-882-2179

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