Jacobson Optometry Ltd - Medicare Primary Care in Rice Lake, WI

Jacobson Optometry Ltd is a medicare enrolled primary clinic (Clinic/center) in Rice Lake, Wisconsin. The current practice location for Jacobson Optometry Ltd is 1801 W Knapp St Ste 3, Rice Lake, Wisconsin. For appointments, you can reach them via phone at (715) 234-3113. The mailing address for Jacobson Optometry Ltd is 1801 W Knapp St Ste 3, Rice Lake, Wisconsin and phone number is (715) 234-3113.

Jacobson Optometry Ltd is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255518635. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (715) 234-3113.

Contact Information

Jacobson Optometry Ltd
1801 W Knapp St Ste 3
Rice Lake
WI 54868-1381
(715) 234-3113
(715) 234-2339

Primary Care Clinic Profile

Full NameJacobson Optometry Ltd
SpecialityClinic/Center
Location1801 W Knapp St Ste 3, Rice Lake, Wisconsin
Authorized Official Name and PositionKevin E Jacobson (DOCTOR)
Authorized Official Contact7152343113
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacobson Optometry Ltd
1801 W Knapp St Ste 3
Rice Lake
WI 54868-1381

Ph: (715) 234-3113
Jacobson Optometry Ltd
1801 W Knapp St Ste 3
Rice Lake
WI 54868-1381

Ph: (715) 234-3113

NPI Details:

NPI Number1255518635
Provider Enumeration Date01/28/2008
Last Update Date01/28/2008

Medicare PECOS Information:

Medicare PECOS PAC ID5890812598
Medicare Enrollment IDO20101104000707

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Medical Identifiers

Medical identifiers for Jacobson Optometry Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255518635NPI-NPPES
38527700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jacobson Optometry Ltd acts as a billing entity for following providers:
Provider NameKevin Edward Jacobson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306850961
PECOS PAC ID: 8224144159
Enrollment ID: I20101104000788

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