| Jacob Blaine Fleecs, MD | |
|
3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 | |
| (308) 398-6400 | |
| (308) 398-6408 |
| Full Name | Jacob Blaine Fleecs |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3610 Richmond Cir Ste 100, Grand Island, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043716954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 81598 (Wisconsin) | Primary |
| Entity Name | Group Health Cooperative Of South Central Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
| Entity Name | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Entity Name | Richland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Blaine Fleecs, MD Po Box 1725, Grand Island, NE 68802-1725 Ph: (308) 398-6400 | Jacob Blaine Fleecs, MD 3610 Richmond Cir Ste 100, Grand Island, NE 68803-3910 Ph: (308) 398-6400 |
Dr. Daniel Eugene Novinski, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408 | |
Dr. Stephan Kermit Woodman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560 | |
Dr. Max Andrew Stevens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560 | |
Dr. Matthias M Albin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408 | |
Dr. Gerald Dwain Janulewicz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560 | |
Dr. Cody L Evans, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408 |