Jacob Blaine Fleecs, MD | |
3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 | |
(308) 398-6400 | |
(308) 398-6408 |
Full Name | Jacob Blaine Fleecs |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3610 Richmond Cir Ste 100, Grand Island, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043716954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 81598 (Wisconsin) | Primary |
Entity Name | University Of Wisconsin Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Entity Name | University Of Wisconsin System Non Payroll |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346266319 PECOS PAC ID: 9133024888 Enrollment ID: O20031204001102 |
Entity Name | Group Health Cooperative Of South Central Wisconsin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
Entity Name | Fort Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
Entity Name | Richland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
Mailing Address | Practice Location Address |
---|---|
Jacob Blaine Fleecs, MD Po Box 1725, Grand Island, NE 68802-1725 Ph: (308) 398-6400 | Jacob Blaine Fleecs, MD 3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 Ph: (308) 398-6400 |
Dr. Daniel Eugene Novinski, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408 | |
Dr. Stephan Kermit Woodman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560 | |
Dr. Max Andrew Stevens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560 | |
Dr. Matthias M Albin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408 | |
Dr. Gerald Dwain Janulewicz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560 | |
Dr. Cody L Evans, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408 |