Kase Allen Jacobs, | |
112 Saint Olaf Ave S, Canby, MN 56220-1433 | |
(507) 223-7277 | |
Not Available |
Full Name | Kase Allen Jacobs |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 112 Saint Olaf Ave S, Canby, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336857655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9955 (Minnesota) | Primary |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1780781054 PECOS PAC ID: 6800707100 Enrollment ID: O20061213000244 |
Mailing Address | Practice Location Address |
---|---|
Kase Allen Jacobs, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Kase Allen Jacobs, 112 Saint Olaf Ave S, Canby, MN 56220-1433 Ph: (507) 223-7277 |
Mrs. Holly L Gisi-york, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277 Fax: 605-884-4300 | |
Michelle Marie Danielson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277 |