Ian M Jacobson, MD - Medicare Emergency Medicine in Providence, RI

Ian M Jacobson, MD is a medicare enrolled "Emergency Medicine" physician in Providence, Rhode Island. His current practice location is 825 Chalkstone Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (330) 493-4443.

Ian M Jacobson is licensed to practice in Rhode Island (license number MD08888) 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 1013057900.

Contact Information

Ian M Jacobson, MD
825 Chalkstone Ave,
Providence, RI 02908-4728
(330) 493-4443
Not Available



Physician's Profile

Full NameIan M Jacobson
GenderMale
SpecialityEmergency Medicine
Location825 Chalkstone Ave, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013057900
  • Provider Enumeration Date: 02/08/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6103803150
  • Enrollment ID: I20040707000720

Medical Identifiers

Medical identifiers for Ian M Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013057900NPI-NPPES
7004811MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD08888 (Rhode Island)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. Ian M Jacobson allows following entities to bill medicare on his behalf.
Entity NameBlackstone Valley Community Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063574135
PECOS PAC ID: 8628045762
Enrollment ID: O20040916000775

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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. Ian M 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
Ian M Jacobson, MD
4535 Dressler Rd Nw,
Canton, OH 44718-2545

Ph: (330) 493-4443
Ian M Jacobson, MD
825 Chalkstone Ave,
Providence, RI 02908-4728

Ph: (330) 493-4443

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Emergency Medicine Doctors in Providence, RI

Dr. Robert A Partridge, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-519-1604    Fax: 401-272-0538
Dr. Gregory R Lockhart, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903
Phone: 401-444-4000    Fax: 401-427-7795
Dr. Daniel Shanin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903
Phone: 401-444-4000    
Carli Renske Reisdorf, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-6680    
Dr. Oriane Diana Longerstaey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 704-355-3181    
Rachel Smith Shain, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-6489    Fax: 401-444-6662

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