Lexi Sara Jacobson (NPI# 1437711330, PAC ID# 0446586267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1437711330 |
| PAC ID by PECOS | 0446586267 |
| Professional Enrollment ID | I20190731001355 |
| Full Name | Lexi Sara Jacobson |
| Organization Legal Name | UROLOGY NEVADA, LTD., DRS., DREW, FREEMAN, GAREY-SAGE, GOODE, HALD, KA |
| Address |
6650 Kietzke Ln Reno NV 89511 |
| Phone Number | 7753227811 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557460557 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6650 Kietzke Ln, Reno, NV 89511 | 7753227811 | UROLOGY NEVADA, LTD., DRS., DREW, FREEMAN, GAREY-SAGE, GOODE, HALD, KA |
| Organization Legal Name | UROLOGY NEVADA, LTD., DRS., DREW, FREEMAN, GAREY-SAGE, GOODE, HALD, KA |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo W Kanellos | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Derek Glazier | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Remy William Lamberts | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Jeremy L Reichert | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Abigail H Freeman | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Adam Lee Casey | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| David E Hald | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Matthew C Mccormack | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| John G Scott | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| Cheryl J Finn | Nurse Practitioner | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 10745 Double R Blvd, Reno, NV 89521-8979 |
| Street Address |
6650 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip | 89511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John G Scott | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn G Baker | Nurse Practitioner | Anne G Hayes Dermatology PC | 509 Hammill Ln, Reno, NV 89511-1004 |
| Michael A Hodes | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| James C Mclennan | Family Medicine | 513 Hammill Ln, Reno, NV 89511-1004 | |
| Mel C Magboo | Internal Medicine | 555 Hammill Ln, Reno, NV 89511-1004 | |
| Christine N Schellin | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Merle F Bruce | Otolaryngology | 501 Hammill Ln, Reno, NV 89511-1004 | |
| Danielle Catherine Beebe | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Nancy R Henderson | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Anne G Hayes | Dermatology | Anne G Hayes Dermatology PC | 509 Hammill Ln, Reno, NV 89511-1004 |
| Steven E Krause | Dermatology | Anne G Hayes Dermatology PC | 509 Hammill Ln, Reno, NV 89511-1004 |
| Find all physicians in zip 89511 | |||
| City | RENO |
| Zip Code | 89511 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RENO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lexi Sara Jacobson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.