Jacob F Patterson, | |
933 Sell Ave, Suite A, Canon City, CO 81212-4900 | |
(719) 275-0687 | |
(719) 275-0690 |
Full Name | Jacob F Patterson |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 933 Sell Ave, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982682787 | NPI | - | NPPES |
142165200 | Other | US DEPT OF LABOR | |
33886 | Other | CO | ANTHEM BLUECROSSBLUE SHIE |
841171832 | Other | TRICARE FOR LIFE WPS | |
5502AMPR006855 | Other | ANTHEM BLUECROSSBLUESHIEL | |
01308683 | Medicaid | CO | |
P00262003 | Other | CO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 30868 (Colorado) | Primary |
Entity Name | Catholic Health Initiatives Colorado |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Mailing Address | Practice Location Address |
---|---|
Jacob F Patterson, Po Box 310, Canon City, CO 81215-0310 Ph: (719) 275-0687 | Jacob F Patterson, 933 Sell Ave, Suite A, Canon City, CO 81212-4900 Ph: (719) 275-0687 |
Solon L. Rosenblatt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave Bldg D, Canon City, CO 81212 Phone: 719-285-2646 | |
Eric Carlson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 933 Sell Ave, Suite A, Canon City, CO 81212 Phone: 719-275-0685 Fax: 719-275-0690 | |
Dr. Keith P Minihane, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2646 Fax: 719-285-2647 |