Jacob A Whetzel (NPI# 1548655368, PAC ID# 8224317367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548655368 |
| PAC ID by PECOS | 8224317367 |
| Professional Enrollment ID | I20190319002639 |
| Full Name | Jacob A Whetzel |
| Organization Legal Name | MISSOULA COMMUNITY HEALTH SERVICES, INC |
| Address |
1208 6th Ave Superior MT 59872-9667 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709790603 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271331 | MINERAL COMMUNITY HOSPITAL |
| 270014 | ST. PATRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1208 6th Ave, Superior, MT 59872-9667 | MISSOULA COMMUNITY HEALTH SERVICES, INC |
| Organization Legal Name | MISSOULA COMMUNITY HEALTH SERVICES, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane A Whetzel | Nurse Practitioner | Missoula Community Health Services, Inc | 1208 6th Ave, Superior, MT 59872-9667 |
| Street Address |
1208 6TH AVE |
| City | SUPERIOR |
| State | MT |
| Zip | 59872-9667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane A Whetzel | Nurse Practitioner | Missoula Community Health Services, Inc | 1208 6th Ave, Superior, MT 59872-9667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy M Smith | Clinical Social Worker | 304 4th Ave E, Superior, MT 59872-0622 | |
| Dana W Austin | Physical Therapy | 406 2nd Ave E, Superior, MT 59872-3001 | |
| Dessye Dee M Clark | Clinical Nurse Specialist | Partnership Health Center, Inc. | 1208 6th Ave C, Superior, MT 59872-9618 |
| City | SUPERIOR |
| Zip Code | 59872 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SUPERIOR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jacob A Whetzel.
| 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.