Individual provider Active NPI

Joseph Michael Jacot, PAC

  • Physician Assistant
  • Flint, MI
National Provider Identifier
1982758090
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004194 Issued in MI
Practice address
5020 W Bristol Rd
Flint, MI 48507-2919
Phone
(810) 732-1620
Fax
(810) 732-8559
NPI assigned
Jan 23, 2007
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004194 MI Primary

Addresses

Primary practice location

5020 W Bristol Rd
Flint, MI 48507-2919

Mailing address

5020 W Bristol Rd
Flint, MI 48507-2919
Phone (810) 732-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000268 MI Practitioner - Physician Assistant 1951384577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Surgery Assoc PCGroup PAC ID 2567443559, 16 clinicians

Practice addresses (Care Compare)

1122 S Lapeer Rd C
Lapeer, MI 48446-3387
Phone (810) 272-3880

5020 W Bristol Rd
Flint, MI 48507-2919
Phone (810) 732-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgery Assoc, PC Past Accepting new patients
Vascular Surgery Assoc, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jjacot1133156@direct.hfhs.org
  • Direct secure messaging: josephjacot@mvc.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1982758090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "810-732-1620",
            "fax_number": "810-732-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072919",
            "telephone_number": "810-732-1620",
            "fax_number": "810-732-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOT",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.