Jacob Hollenbeck, | |
3643 N Roxboro St, Durham, NC 27704-2702 | |
(919) 470-4000 | |
Not Available |
Full Name | Jacob Hollenbeck |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 3643 N Roxboro St, Durham, North Carolina |
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 |
---|---|---|---|
1033571724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 5421 (North Carolina) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 231737 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Duke University Hospital | Durham, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Duke University Health System Inc | 2567372345 | 852 |
Entity Name | Duke University Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 |
Entity Name | Regional Anesthesia, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952486946 PECOS PAC ID: 3779681408 Enrollment ID: O20070604000698 |
Mailing Address | Practice Location Address |
---|---|
Jacob Hollenbeck, 5213 S Alston Ave, Durham, NC 27713-4430 Ph: (919) 620-4855 | Jacob Hollenbeck, 3643 N Roxboro St, Durham, NC 27704-2702 Ph: (919) 470-4000 |
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