| Alexander Paul Jacobsen, DO | |
|
700 Olympic Plaza Cir Ste 503, Tyler, TX 75701-1952 | |
| (903) 596-3686 | |
| Not Available |
| Full Name | Alexander Paul Jacobsen |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 700 Olympic Plaza Cir Ste 503, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790278026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | T7954 (Texas) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | T7954 (Texas) | Primary |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Paul Jacobsen, DO 700 Olympic Plaza Cir Ste 503, Tyler, TX 75701-1952 Ph: (903) 596-3686 | Alexander Paul Jacobsen, DO 700 Olympic Plaza Cir Ste 503, Tyler, TX 75701-1952 Ph: (903) 596-3686 |
Dr. Bradley S Merritt, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3131 Troup Hwy, Tyler, TX 75701 Phone: 903-510-7006 | |
Mr. Chad Joseph Mcneil, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3414 Golden Rd, Tyler, TX 75701 Phone: 903-939-7500 Fax: 903-939-7728 | |
Dr. Catherine M Fieseler, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8840 | |
Jorge Ivan Garcia, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St, Ste 330, Tyler, TX 75702 Phone: 903-525-7995 | |
Ellisiv Lien, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224 | |
Jonathan Colby Smith, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3131 Troup Hwy, Tyler, TX 75701 Phone: 903-510-7006 | |
Dr. Janine Coles Islam, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4295 Kinsey Dr, Tyler, TX 75703 Phone: 903-526-5000 Fax: 903-526-5006 |