Dr Randy S Jacobs, MD | |
1375 E 19th Ave, Denver, CO 80218-1114 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Randy S Jacobs |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1375 E 19th Ave, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902940786 | NPI | - | NPPES |
007219 | Other | KAISER-COMMERCIAL NUMBER | |
01319094 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 31909 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Entity Name | Scl Health Medical Group - Denver Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
Mailing Address | Practice Location Address |
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Dr Randy S Jacobs, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Randy S Jacobs, MD 1375 E 19th Ave, Denver, CO 80218-1114 Ph: (303) 338-4545 |
Dr. Peter A Alsharif, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-4949 Fax: 303-602-5184 | |
Paul William Schadler, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 5th St, Plaza Building, Suite 150, Denver, CO 80204 Phone: 303-556-2525 Fax: 303-556-3881 | |
James Bradley Ball, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2055 N High St Ste 340, Denver, CO 80205 Phone: 303-832-2344 Fax: 303-832-3721 | |
Dr. Rochelle Ravishankara, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1375 E 19th Ave, Denver, CO 80218 Phone: 303-338-4545 | |
Graham S Ingalsbe, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-5183 | |
Cecilia Sorensen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-6000 | |
Lauran Wirfs, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5250 Leetsdale Dr, Denver, CO 80246 Phone: 303-629-5293 |