| Dr Jacob Edward Boll, DC | |
|
25 Jefferson River Rd, Three Forks, MT 59752-9765 | |
| (712) 260-0831 | |
| Not Available |
| Full Name | Dr Jacob Edward Boll |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 9 Years |
| Location | 25 Jefferson River Rd, Three Forks, Montana |
| 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 |
|---|---|---|---|
| 1861935173 | NPI | - | NPPES |
| 1437668449 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH60706123 (Washington) | Secondary |
| 111N00000X | Chiropractor | CHI-CHI-LIC-4595 (Montana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pairmore And Young Synergy Chiropractic Llc | 3678662699 | 4 |
| Provider Name | Pairmore & Young Synergy Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831370527 PECOS PAC ID: 3678662699 Enrollment ID: O20071128000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Edward Boll, DC 25 Jefferson River Rd, Three Forks, MT 59752-9765 Ph: (712) 260-0831 | Dr Jacob Edward Boll, DC 25 Jefferson River Rd, Three Forks, MT 59752-9765 Ph: (712) 260-0831 |
Chiropractic Clinic Of Three Forks Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 217 Main St, Three Forks, MT 59752 Phone: 406-285-6935 Fax: 406-285-6935 | |
Jack H. Berg, Dc, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 113 Main St Ste A, Three Forks, MT 59752 Phone: 406-285-6935 Fax: 406-285-6874 | |
Jack Howard Berg, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 113 Main St Ste A, Three Forks, MT 59752 Phone: 406-285-6935 Fax: 406-285-6874 |