| Jacob Anderson, DO | |
|
3911 Avenue B, Scottsbluff, NE 69361-4617 | |
| (308) 630-2100 | |
| (308) 630-1349 |
| Full Name | Jacob Anderson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 3911 Avenue B, Scottsbluff, Nebraska |
| 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 |
|---|---|---|---|
| 1023507035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3013 (Nebraska) | Primary |
| 207Q00000X | Family Medicine | DR.0063543 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Memorial Hospital | Cortez, CO | Hospital |
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional West Physicians Clinic | 2062301609 | 120 |
| Southwest Health System Inc | 5890699326 | 44 |
| Entity Name | Regional West Physicians Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306910534 PECOS PAC ID: 2062301609 Enrollment ID: O20040315001274 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Anderson, DO 260895 County Rd E # 1, Scottsbluff, NE 69361-6907 Ph: (435) 754-8044 | Jacob Anderson, DO 3911 Avenue B, Scottsbluff, NE 69361-4617 Ph: (308) 630-2100 |
Dr. Patrick Joseph Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361 Phone: 308-630-2100 Fax: 308-630-2113 | |
Dr. Kent Lacey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361 Phone: 308-630-2100 Fax: 308-630-1890 | |
Dr. Michelle Cheloha, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361 Phone: 308-630-2100 Fax: 308-630-2149 | |
Delford Mark Roth, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 Valley View Dr, Suite 301, Scottsbluff, NE 69361 Phone: 308-633-9021 Fax: 308-633-9023 | |
Dr. Tara Ann Longoria, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361 Phone: 308-630-2100 Fax: 308-630-2113 | |
Donald Max Gentry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3911 Avenue B, Suite 2110, Scottsbluff, NE 69361 Phone: 308-630-2100 Fax: 308-630-2113 |