| Dr James H Jacobs Jr, MD | |
|
12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | |
| (515) 226-9810 | |
| (515) 961-2714 |
| Full Name | Dr James H Jacobs Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 12368 Stratford Dr, Clive, Iowa |
| 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 |
|---|---|---|---|
| 1003895962 | NPI | - | NPPES |
| 668214600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 33546 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des moines, IA | Hospital |
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Buena Vista Regional Medical Center | Storm lake, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Radiology P C | 2264323468 | 37 |
| Entity Name | Iowa Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336107283 PECOS PAC ID: 2264323468 Enrollment ID: O20181008000882 |
| Entity Name | Iowa Diagnostic Imaging & Procedure Center L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528026481 PECOS PAC ID: 1658263546 Enrollment ID: O20181022000882 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James H Jacobs Jr, MD 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 Ph: (515) 226-9810 | Dr James H Jacobs Jr, MD 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 Ph: (515) 226-9810 |
Andrew David Nish, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12368 Stratford Dr, Suite 300, Clive, IA 50325 Phone: 515-226-9810 Fax: 515-226-8408 | |
John Rizzi, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 12368 Stratford Dr, Suite 300, Clive, IA 50325 Phone: 515-226-9810 Fax: 515-226-8408 | |
Dr. Aaron Christopher Hurlbut, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12368 Stratford Dr, Suite 300, Clive, IA 50325 Phone: 402-560-2691 | |
David Lawrence Lacey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12368 Stratford Dr, Suite 300, Clive, IA 50325 Phone: 515-226-9810 Fax: 515-226-8408 | |
Stuart Kent Lehr, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12368 Stratford Dr, Suite 300, Clive, IA 50325 Phone: 515-226-9810 Fax: 515-226-8408 | |
Charles Nathaniel Heggen, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 12368 Stratford Dr, Suite 300, Clive, IA 50325 Phone: 515-226-9810 Fax: 515-226-8408 |