Jacob Connell, | |
300 Pasteur Dr, Stanford, CA 94305-2200 | |
(640) 723-4000 | |
Not Available |
Full Name | Jacob Connell |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 10 Years |
Location | 300 Pasteur Dr, Stanford, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265852461 | NPI | - | NPPES |
CONNEJT157C2 | Other | WA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 9529173-1205 (Utah) | Secondary |
207L00000X | Anesthesiology | A171761 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Of Folsom | Folsom, CA | Hospital |
Santa Clara Valley Medical Center | San jose, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America - Anesthesia Pc | 3678897915 | 339 |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Entity Name | Cep America - Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
Mailing Address | Practice Location Address |
---|---|
Jacob Connell, 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: () - | Jacob Connell, 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (640) 723-4000 |
Melissa Ann Vogelsong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Room Hc435, Stanford, CA 94305 Phone: 650-723-4000 | |
Soniya Sharma, MD, FRCPC Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Dr. Isobel A. Russell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Ronald Gary Pearl, MD, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5024 Fax: 650-725-0009 | |
Dr. Jesse Ephraim Goldmacher, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr Rm H3589, Stanford, CA 94305 Phone: 647-825-8726 Fax: 650-725-0009 | |
Cornel Chiu, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Steven Louis Shafer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 Fax: 650-887-2203 |