| Jacob Michael Taverna, MD | |
|
435 S Crystal St, Suite 300, Butte, MT 59701-1506 | |
| (406) 496-3600 | |
| (406) 496-3653 |
| Full Name | Jacob Michael Taverna |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 435 S Crystal St, Butte, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811979099 | NPI | - | NPPES |
| 006 4818 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7657 (Montana) | Primary |
| Entity Name | Scl Health Medical Group-butte Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477869600 PECOS PAC ID: 2466633102 Enrollment ID: O20110301000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Michael Taverna, MD 435 S Crystal St, Suite 300, Butte, MT 59701-1506 Ph: (406) 496-3600 | Jacob Michael Taverna, MD 435 S Crystal St, Suite 300, Butte, MT 59701-1506 Ph: (406) 496-3600 |
Dr. James Robert Drynan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3015 St Ann Street, Butte, MT 59701 Phone: 406-782-0794 Fax: 406-782-0794 | |
Dr. Charles Martin Watson, PH.D., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S Clark St, Butte, MT 59701 Phone: 406-723-2781 Fax: 406-723-2480 | |
Paul R Siddoway, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Mercury St, Butte, MT 59701 Phone: 406-723-1300 Fax: 406-723-1310 | |
Mr. Joe K Gregory, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 S. Crystal, Suite 300, Butte, MT 59701 Phone: 406-496-3600 Fax: 406-496-3653 | |
Mr. Jay Bradley Bitar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: St. James Hospital, 400 S. Clark St, Butte, MT 59701 Phone: 407-804-9199 Fax: 407-804-9393 | |
Michael Anthony Rhodes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S Clark St, Butte, MT 59701 Phone: 406-723-2500 | |
Dr. Kyler Joseph Kingston, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 S Crystal St Ste 3, Butte, MT 59701 Phone: 406-496-3600 |