Mr Tad Jacobs, DO | |
111 E 10th St, Dell Rapids, SD 57022-1217 | |
(605) 997-2471 | |
(605) 997-2418 |
Full Name | Mr Tad Jacobs |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 111 E 10th St, Dell Rapids, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629044458 | NPI | - | NPPES |
57028A004 | Other | SD | WPS TRICARE |
1258 | Other | SD | DAKOTACARE |
873765700 | Medicaid | MN | |
12967 | Other | SD | MIDLANDS CHOICE |
68890 | Other | SD | ARAZ/AMERICA'S PPO |
AH908107523 | Other | SD | PREFERRED ONE |
5602007 | Medicaid | SD | |
4995979 | Other | SD | BCBS OF SOUTH DAKOTA |
659S6JA | Other | MN | BCBS OF MN |
659S 6JA | Other | MN | CC SYSTEMS BLUE PLUS |
5602006 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1258 (South Dakota) | Primary |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Mr Tad Jacobs, DO 111 E 10th St, Dell Rapids, SD 57022-1217 Ph: (605) 428-5446 | Mr Tad Jacobs, DO 111 E 10th St, Dell Rapids, SD 57022-1217 Ph: (605) 997-2471 |
Mrs. Valerie A. Larson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 10th Street, Dell Rapids, SD 57022 Phone: 605-428-5446 | |
Mr. Joseph P. Prasek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 10th Street E, Dell Rapids, SD 57022 Phone: 605-428-5446 | |
Mr. Matt E. Herber, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 10th Street E, Dell Rapids, SD 57022 Phone: 605-428-5446 |