Nisha Lassi Jacobs, MD | |
11850 Blackfoot St Ne, Suite 100, Coon Rapids, MN 55433-2598 | |
(763) 712-2100 | |
(763) 712-2190 |
Full Name | Nisha Lassi Jacobs |
---|---|
Gender | Female |
Speciality | Medical Oncology |
Experience | 18 Years |
Location | 11850 Blackfoot St Ne, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134241391 | NPI | - | NPPES |
958440000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 49898 (Minnesota) | Primary |
207R00000X | Internal Medicine | 49898 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Croix Hospice | Oakdale, MN | Hospice |
Mercy Hospital | Coon rapids, MN | Hospital |
Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minnesota Oncology Hematology Pa | 6709799752 | 103 |
Entity Name | Minnesota Oncology Hematology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528035995 PECOS PAC ID: 6709799752 Enrollment ID: O20031106000626 |
Mailing Address | Practice Location Address |
---|---|
Nisha Lassi Jacobs, MD 11850 Blackfoot St Nw, Suite 100, Coon Rapids, MN 55433-2598 Ph: (763) 712-2100 | Nisha Lassi Jacobs, MD 11850 Blackfoot St Ne, Suite 100, Coon Rapids, MN 55433-2598 Ph: (763) 712-2100 |
Dr. Jaya Bhattarai, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Zongyu J Chen, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9145 Springbrook Dr, #200, Coon Rapids, MN 55433 Phone: 612-871-1145 Fax: 612-870-5491 | |
Amber Galarowicz, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Evan L Domeyer, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433 Phone: 763-236-9400 Fax: 763-236-9423 | |
Natalia Yazigi, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Linda Benjamin Soucie, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433 Phone: 763-236-9400 Fax: 763-236-9423 | |
Wendoly R Slattery, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |