Lance Glen Jacobson, MD | |
3200 Channing Way Ste A205, Idaho Falls, ID 83404-7586 | |
(208) 535-4580 | |
Not Available |
Full Name | Lance Glen Jacobson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 12 Years |
Location | 3200 Channing Way Ste A205, Idaho Falls, Idaho |
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 |
---|---|---|---|
1689940405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | M-14018 (Idaho) | Secondary |
207X00000X | Orthopaedic Surgery | M-14018 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Idaho Physician Services Inc | 2163430943 | 18 |
Entity Name | Idaho Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902841893 PECOS PAC ID: 2163430943 Enrollment ID: O20070208000680 |
Mailing Address | Practice Location Address |
---|---|
Lance Glen Jacobson, MD Po Box 277381, Atlanta, GA 30384-7381 Ph: () - | Lance Glen Jacobson, MD 3200 Channing Way Ste A205, Idaho Falls, ID 83404-7586 Ph: (208) 535-4580 |
Dr. Brigham B Redd, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2210 Coronado St, Idaho Falls, ID 83404 Phone: 208-522-3355 Fax: 208-522-6019 | |
Dr. Gregory Edwin Biddulph, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3300 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-522-6662 Fax: 208-522-0880 | |
Lynn J Stromberg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2355 Coronado, Idaho Falls, ID 83404 Phone: 208-523-9800 | |
Mark A Weight, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2355 Coronado St, Idaho Falls, ID 83404 Phone: 208-523-0303 Fax: 208-523-9815 | |
Jonathan Allred Olson, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2210 Coronado St, Idaho Falls, ID 83404 Phone: 208-522-3355 Fax: 208-522-6019 | |
Dr. Benjamin B Garner, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste 205a, Idaho Falls, ID 83404 Phone: 208-535-4567 Fax: 208-535-4569 | |
Joseph R Liljenquist, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2210 Coronado St, Idaho Falls, ID 83404 Phone: 208-522-3355 Fax: 208-522-6019 |