| Dr Michael Craig Jacobson, MD | |
|
520 S Eagle Rd Ste 3112, Meridian, ID 83642-6352 | |
| (208) 706-5800 | |
| (208) 706-5810 |
| Full Name | Dr Michael Craig Jacobson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 520 S Eagle Rd Ste 3112, Meridian, Idaho |
| 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 |
|---|---|---|---|
| 1497736177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A97915 (California) | Secondary |
| 208800000X | Urology | 6671934 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Wood River Medical Center | Ketchum, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Community Regional Medical Center | Fresno, CA | Hospital |
| St Luke's Mccall | Mccall, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1159 |
| Community Health Partners | 6608280268 | 509 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Craig Jacobson, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Michael Craig Jacobson, MD 520 S Eagle Rd Ste 3112, Meridian, ID 83642-6352 Ph: (208) 706-5800 |
Dr. Maggie D. Vuturo, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Ste 3112, Meridian, ID 83642 Phone: 208-706-5800 Fax: 208-706-5810 | |
Craig R Spencer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Ste 3112, Meridian, ID 83642 Phone: 208-706-5800 Fax: 208-706-5810 | |
Dr. Nicholas J Kuntz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2855 E Magic View Dr, Meridian, ID 83642 Phone: 208-639-4900 | |
Dr. Todd M Waldmann, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2855 E Magic View Dr, Meridian, ID 83642 Phone: 208-639-4900 Fax: 208-639-4901 | |
Dr. Stephen J Miller, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2855 E Magic View Dr, Meridian, ID 83642 Phone: 208-639-4900 Fax: 208-639-4901 | |
Dr. Joseph H Williams, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2855 E Magic View Dr, Meridian, ID 83642 Phone: 208-639-4900 Fax: 208-639-4901 | |
Adam Schatz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2855 E Magic View Dr, Meridian, ID 83642 Phone: 208-639-4900 |