DR. JACOB PETERSEN DPT
NPI 1811440274
Physical Medicine & Rehabilitation in Pinole, CA
NPI Status: Active since August 02, 2016
Contact Information
2160 APPIAN WAY
SUITE 101
PINOLE, CA
ZIP 94564
Phone: (510) 724-1248
- Individual
- Male
- Years of Experience 11
- Physical Medicine & Rehabilitation
- Accepts Medicare Approved Payment
About JACOB PETERSEN
This page provides the complete NPI Profile along with additional information for Jacob Petersen, a provider established in Pinole, California with a medical specialization in Physical Medicine & Rehabilitation and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1811440274 assigned on August 2016. The practitioner's primary taxonomy code is 208100000X with license number 291765 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1811440274
- Provider Name
- DR. JACOB PETERSEN DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2160 APPIAN WAY SUITE 101 PINOLE, CA 94564
- Location Phone
- (510) 724-1248
- Mailing Address
- 8874 WOODMAYR CIR NORWALK, IA 50211
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-02-2016
- Last Update Date
- 08-02-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 291765
- License State
- CA
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Medicare Participation & PECOS Enrollment Status
Jacob Petersen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 1456703578
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240113000697
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811440274, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PINOLE, CA 94564
PINOLE, CA 94564
PINOLE, CA 94564
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811440274, enumerated as an "individual" on August 02, 2016.
The provider is located at 2160 APPIAN WAY SUITE 101 PINOLE, CA 94564 and the phone number is (510) 724-1248.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
