BREANNA JACOBITZ (DO) – Emergency Medicine Physician, NPI 1083339956
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for BREANNA JACOBITZ (DO)
3701 E Main St
Weatherford, OK 730963309
Phone: (580) 772-5551
Type: Location
1500 N Green Ave
Purcell, OK 730801642
Phone: (405) 527-6524
Type: Location
2401 W Wrangler Blvd
Seminole, OK 748681917
Phone: (432) 758-5811
Type: Location
1111 W 17TH ST
TULSA, OK 741071886
Phone:
Type: Mailing
PO BOX 1308
NORMAN, OK 730701308
Phone: (405) 307-1090
Fax: (405) 307-1076
Type: Mailing
3300 HEALTHPLEX PKWY
NORMAN, OK 730729749
Phone: (405) 307-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250807002919 | I | Emergency Medicine | OK | TBD |
| I20251010000135 | I | Emergency Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73096)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| - | OK | |
| Emergency Medicine | SC | |
| - | OK | |
| Family Practice | OK | |
| - | OK | |
| - | OK | |
| Internal Medicine, Hospice/Palliative Care | OK | |
| Emergency Medicine | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.