David Jacobson Jr, PA - Medicare Physician Assistant in Willoughby, OH

David Jacobson Jr, PA is a medicare enrolled "Physician Assistant" in Willoughby, Ohio. His current practice location is 36000 Euclid Ave, Willoughby, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 953-6203.

David Jacobson Jr is licensed to practice in Ohio (license number 50000362) 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 1760443659.

Contact Information

David Jacobson Jr, PA
36000 Euclid Ave,
Willoughby, OH 44094
(440) 953-6203
(440) 953-6202



Provider's Profile

Full NameDavid Jacobson Jr
GenderMale
SpecialityPhysician Assistant
Location36000 Euclid Ave, Willoughby, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760443659
  • Provider Enumeration Date: 03/30/2006
  • Last Update Date: 11/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8123928496
  • Enrollment ID: I20040219000874

Medical Identifiers

Medical identifiers for David Jacobson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760443659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 022384-1 (New York)Secondary
363A00000XPhysician Assistant 50000362 (Ohio)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. David Jacobson Jr 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
David Jacobson Jr, PA
7381 Willow Run Dr,
Mentor, OH 44060-3529

Ph: (440) 413-0877
David Jacobson Jr, PA
36000 Euclid Ave,
Willoughby, OH 44094

Ph: (440) 953-6203

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› Verified 2 days ago


Physician Assistant Nurses in Willoughby, OH

Mrs. Bonnie Lynn Broida, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-953-6240    
George Livingston, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-953-6203    Fax: 440-953-6202
Mr. Mark E. Holtcamp, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2785 Som Center Rd, Willoughby, OH 44094
Phone: 440-975-5575    Fax: 440-944-0920
Mrs. Joanne T Longbons, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 36100 Euclid Avenue, Suite 170, Willoughby, OH 44094
Phone: 440-602-6737    Fax: 440-942-0316
Sydney Wills Mcgiffin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5105 Som Center Rd Ste 107, Willoughby, OH 44094
Phone: 440-655-8389    
Schickri Aina, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-953-6203    Fax: 440-953-6202
Katelyn Elizabeth Skof, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 36000 Euclid Ave, Willoughby, OH 44094
Phone: 440-364-1084    

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