Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William M Jacobsen, MD

Individual provider Plastic Surgery Physician · NPI 1639176894

William M Jacobsen, MD is a Plastic and Reconstructive Surgery in Phoenix, Arizona. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
40
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2400 E Arizona Biltmore Cir Ste 2450
Phoenix, AZ 85016-2107
Phone: (602) 212-0100
Fax: (602) 279-1701
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Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 21620 (AZ)

Record details

NPI number1639176894
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2005
Last updated in NPPESJuly 13, 2026
Mailing address2400 E Arizona Biltmore Cir, Suite 2450, Phoenix, AZ 85016-2107

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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