Thomas E Jacobsen, MD - Medicare Family Medicine in Hettinger, ND

Thomas E Jacobsen, MD is a medicare enrolled "Family Medicine" physician in Hettinger, North Dakota. His current practice location is 1000 Highway 12, Hettinger, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 567-4561.

Thomas E Jacobsen is licensed to practice in North Dakota (license number 2916) 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 1053405662.

Contact Information

Thomas E Jacobsen, MD
1000 Highway 12,
Hettinger, ND 58639
(701) 567-4561
Not Available



Physician's Profile

Full NameThomas E Jacobsen
GenderMale
SpecialityFamily Medicine
Location1000 Highway 12, Hettinger, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053405662
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5092729269
  • Enrollment ID: I20080930000147

Medical Identifiers

Medical identifiers for Thomas E Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053405662NPI-NPPES
123993OtherWORKERS COMP
12564MedicaidND
10775OtherND BC/BS
20818OtherSIOUX VALLEY
3018140MedicaidWA
45034068812MedicaidNE
7774910MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2916 (North Dakota)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. Thomas E Jacobsen allows following entities to bill medicare on his behalf.
Entity NameHorizon Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356459382
PECOS PAC ID: 8921997933
Enrollment ID: O20040315000974

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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. Thomas E Jacobsen 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
Thomas E Jacobsen, MD
1100 Highway 12,
Hettinger, ND 58639-7533

Ph: (701) 567-6130
Thomas E Jacobsen, MD
1000 Highway 12,
Hettinger, ND 58639

Ph: (701) 567-4561

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Family Medicine Doctors in Hettinger, ND

Catherine E Shirek, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Highway 12, Hettinger, ND 58639
Phone: 701-567-4561    
John P Joyce, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Highway 12, Hettinger, ND 58639
Phone: 701-567-4561    
Robert E Grossman, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Highway 12, Hettinger, ND 58639
Phone: 701-567-4561    
Frank A Thorngren, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Highway 12, Hettinger, ND 58639
Phone: 701-567-4561    
Joseph M Mattson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Highway 12, Hettinger, ND 58639
Phone: 701-567-4561    
Terrance R Mack, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Highway 12, Hettinger, ND 58639
Phone: 701-567-4561    

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