Jane Jacobson (NPI# 1003243718, PAC ID# 6901022995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1003243718 |
PAC ID by PECOS | 6901022995 |
Professional Enrollment ID | I20140801002345 |
Full Name | Jane Jacobson |
Organization Legal Name | FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
Address |
10 Ros Cir Republic WA 99166-5002 |
Phone Number | 5097753245 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0446148761 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
501322 | FERRY COUNTY MEMORIAL HOSPITAL |
501326 | PROVIDENCE MOUNT CARMEL HOSPITAL |
Address | Phone | Organization |
---|---|---|
10 Ros Cir, Republic, WA 99166-5002 | 5097753245 | FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
Organization Legal Name | FERRY COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Samuel A Artzis | Family Medicine | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Mari Hunter | Nurse Practitioner | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Kal Kelley | Emergency Medicine | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Joseph D Petersen | Nurse Practitioner | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Craig L Christopher | Physician Assistant | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Richard B Garcia | Family Medicine | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Jeannette A Bauer | Nurse Practitioner | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
James T Corbett | Physician Assistant | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Farhad H Alrashedy | Family Practice | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Street Address |
10 ROS CIR |
City | REPUBLIC |
State | WA |
Zip | 99166-5002 |
Name | Specialty | Organization | Address |
---|---|---|---|
Samuel A Artzis | Family Medicine | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Mari Hunter | Nurse Practitioner | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Kal Kelley | Emergency Medicine | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Joseph D Petersen | Nurse Practitioner | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Craig L Christopher | Physician Assistant | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Richard B Garcia | Family Medicine | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Jeannette A Bauer | Nurse Practitioner | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
James T Corbett | Physician Assistant | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Farhad H Alrashedy | Family Practice | Ferry County Public Hospital District No 1 | 10 Ros Cir, Republic, WA 99166-5002 |
Name | Specialty | Organization | Address |
---|---|---|---|
Violet L Eberly | Physical Therapy | 56 N Clark Ave, Republic, WA 99166-5024 | |
Steven G Tietsort | Chiropractic | 28 N Keller St, Republic, WA 99166-5032 |
City | REPUBLIC |
Zip Code | 99166 |
Specialty | NURSE PRACTITIONER |
City + Specialty | REPUBLIC + NURSE PRACTITIONER |
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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.