Brian Jacobs, CRNA | |
800 S Fillmore St, Osceola, IA 50213-1619 | |
(515) 493-0195 | |
Not Available |
Full Name | Brian Jacobs |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 800 S Fillmore St, Osceola, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871995373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D125471 (Iowa) | Primary |
Entity Name | Trinity Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
Entity Name | Ringgold County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700935202 PECOS PAC ID: 7315849973 Enrollment ID: O20040123000414 |
Entity Name | Grundy County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114012085 PECOS PAC ID: 6406766435 Enrollment ID: O20040217000174 |
Entity Name | Grundy County Memorial Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1821055989 PECOS PAC ID: 6406766435 Enrollment ID: O20061104000161 |
Entity Name | Ringgold County Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1811046568 PECOS PAC ID: 7315849973 Enrollment ID: O20070116000516 |
Mailing Address | Practice Location Address |
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Brian Jacobs, CRNA 1646 Nw 99th Ct, Clive, IA 50325-6754 Ph: () - | Brian Jacobs, CRNA 800 S Fillmore St, Osceola, IA 50213-1619 Ph: (515) 493-0195 |
William L Wharff, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2985 Elk St, Osceola, IA 50213 Phone: 641-342-6742 |