Charles A Jacobson, MD | |
2500 W A St, Suite 201, Moscow, ID 83843-5065 | |
(208) 883-2828 | |
(208) 882-2179 |
Full Name | Charles A Jacobson |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 2500 W A St, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760492656 | NPI | - | NPPES |
0102784 | Other | WA | DEPT OF LABOR |
002743901 | Medicaid | ID | |
1092733 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | M6567 (Idaho) | Primary |
207X00000X | Orthopaedic Surgery | 31851 (Washington) | Secondary |
Entity Name | Inland Orthopaedic Surgery And Sports Medicine Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952877763 PECOS PAC ID: 5496091605 Enrollment ID: O20190116003808 |
Mailing Address | Practice Location Address |
---|---|
Charles A Jacobson, MD 2500 W A St, Suite 201, Moscow, ID 83843-5065 Ph: (208) 883-2828 | Charles A Jacobson, MD 2500 W A St, Suite 201, Moscow, ID 83843-5065 Ph: (208) 883-2828 |
Edwin M Tingstad, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St, Suite 201, Moscow, ID 83843 Phone: 208-883-2828 | |
Dr. Marvin Renell Kym, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 W A St, Moscow, ID 83843 Phone: 208-883-1135 Fax: 208-892-0174 | |
Dr. Aaron James Vandenbos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 201, Moscow, ID 83843 Phone: 208-883-2828 Fax: 208-882-2179 | |
Mathew Zane Taylor, M.D, M.P.H. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 201, Moscow, ID 83843 Phone: 208-883-2828 |