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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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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

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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