Dr Jacob D Shank, MD - Medicare Emergency Medicine in Cottonwood, AZ

Dr Jacob D Shank, MD is a medicare enrolled "Emergency Medicine" physician in Cottonwood, Arizona. He went to Tulane University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Flagstaff Emergency Physicians and his current practice location is 269 S Candy Ln, Cottonwood, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 639-6172.

Dr Jacob D Shank is licensed to practice in Arizona (license number 49186) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780983312.

Contact Information

Dr Jacob D Shank, MD
269 S Candy Ln,
Cottonwood, AZ 86326-4158
(928) 639-6172
Not Available



Physician's Profile

Full NameDr Jacob D Shank
GenderMale
SpecialityEmergency Medicine
Experience13 Years
Location269 S Candy Ln, Cottonwood, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacob D Shank attended and graduated from Tulane University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1780983312
  • Provider Enumeration Date: 03/22/2011
  • Last Update Date: 08/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8325267594
  • Enrollment ID: I20140920000338

Medical Identifiers

Medical identifiers for Dr Jacob D Shank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780983312NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 49186 (Arizona)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Verde Valley Medical CenterCottonwood, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Flagstaff Emergency Physicians286038081327

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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 Jacob D Shank allows following entities to bill medicare on his behalf.
Entity NameFlagstaff Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073683991
PECOS PAC ID: 2860380813
Enrollment ID: O20040310000370

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Entity NameSound Physicians Emergency Medicine Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700328663
PECOS PAC ID: 5799066650
Enrollment ID: O20170109000725

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Entity NameNorthern Arizona Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409

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Entity NameSteward Emergency Physicians Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558827998
PECOS PAC ID: 4486995420
Enrollment ID: O20190401001375

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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 Jacob D Shank 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
Dr Jacob D Shank, MD
269 S Candy Ln,
Cottonwood, AZ 86326-4158

Ph: (928) 639-6172
Dr Jacob D Shank, MD
269 S Candy Ln,
Cottonwood, AZ 86326-4158

Ph: (928) 639-6172

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› Verified 7 days ago


Emergency Medicine Doctors in Cottonwood, AZ

Dr. Andrew Edward Morrison, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6164    
Vincent Edward Furrey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6164    
Dr. Autumn Jean Ray, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    
Dr. Frances Catherine Schlatter, M.D
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    
Corrine Walker, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    
Elizabeth Lightner Mccarrell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Lane, Cottonwood, AZ 86326
Phone: 928-634-2251    
Sean Larsen,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326
Phone: 928-639-6172    Fax: 928-639-6682

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