| Dr Aaron Lee Jacob, MD | |
| 126 Missouri Ave, Glwach Attn: Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 | |
| (573) 596-0417 | |
| (573) 596-0524 | 
| Full Name | Dr Aaron Lee Jacob | 
|---|---|
| Gender | Male | 
| Speciality | General Practice | 
| Location | 126 Missouri Ave, Fort Leonard Wood, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275524274 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 40656 (Wisconsin) | Primary | 
| Entity Name | American Current Care Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477730356 PECOS PAC ID: 9739260019 Enrollment ID: O20091113000542 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Aaron Lee Jacob, MD 126 Missouri Ave, Glwach Attn: Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 | Dr Aaron Lee Jacob, MD 126 Missouri Ave, Glwach Attn: Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417 | 
| Dr. Douglas John Haberman, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
| Benjamin David Crumley,  General Practice Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 816-351-7337 | |
| Dr. Arturo H Montellano, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
| Dr. Michael Robert Tobin, MD General Practice Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
| Dr. Alyssa J Provagna, MD General Practice Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1770 | |
| Dr. Gabriel D Olivo, MD General Practice Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 |