| Jacob F Patterson, | |
|
933 Sell Ave, Suite A, Canon City, CO 81212-4900 | |
| (719) 275-0687 | |
| (719) 275-0690 |
| Full Name | Jacob F Patterson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 933 Sell Ave, Canon City, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982682787 | NPI | - | NPPES |
| 142165200 | Other | US DEPT OF LABOR | |
| 33886 | Other | CO | ANTHEM BLUECROSSBLUE SHIE |
| 841171832 | Other | TRICARE FOR LIFE WPS | |
| 5502AMPR006855 | Other | ANTHEM BLUECROSSBLUESHIEL | |
| 01308683 | Medicaid | CO | |
| P00262003 | Other | CO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 30868 (Colorado) | Primary |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob F Patterson, Po Box 310, Canon City, CO 81215-0310 Ph: (719) 275-0687 | Jacob F Patterson, 933 Sell Ave, Suite A, Canon City, CO 81212-4900 Ph: (719) 275-0687 |
Solon L. Rosenblatt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1335 Phay Ave Ste D, Canon City, CO 81212 Phone: 719-275-4061 Fax: 719-275-4058 | |
Eric Carlson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 933 Sell Ave, Suite A, Canon City, CO 81212 Phone: 719-275-0685 Fax: 719-275-0690 | |
Dr. Keith P Minihane, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2646 Fax: 719-285-2647 |