Dr Matthew Benjamin Jacobs, MD | |
909 Fulton St Se, Minneapolis, MN 55455-4800 | |
(612) 273-8383 | |
Not Available |
Full Name | Dr Matthew Benjamin Jacobs |
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Gender | Male |
Speciality | Anesthesiology - Critical Care Medicine |
Location | 909 Fulton St Se, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053768689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 036156756 (Illinois) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | 77120 (Minnesota) | Primary |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Mailing Address | Practice Location Address |
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Dr Matthew Benjamin Jacobs, MD 720 Washington Ave Se, Minneapolis, MN 55414-2924 Ph: (612) 672-7422 | Dr Matthew Benjamin Jacobs, MD 909 Fulton St Se, Minneapolis, MN 55455-4800 Ph: (612) 273-8383 |
Dr. Matthew Larson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Vinod Kumar, Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455 Phone: 901-317-2162 | |
Robert E Mcklveen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Bryce C. Beverlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Nathan Wei-jim Liu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Dr. Michael H Wall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455 Phone: 612-273-3000 | |
Kenneth M Kiberenge, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street Se Mmc 294, Mmc 294, Minneapolis, MN 55455 Phone: 612-624-2497 |