| Jacob Podleski, | |
|
1500 N Oakland Ave, Bolivar, MO 65613-3011 | |
| (417) 326-6000 | |
| Not Available |
| Full Name | Jacob Podleski |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 13 Years |
| Location | 1500 N Oakland Ave, Bolivar, Missouri |
| 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 |
|---|---|---|---|
| 1003252503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2017007787 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oklahoma Surgical Hospital, Llc | Tulsa, OK | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeman-oak Hill Health System | 8325942253 | 385 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570 |
| Entity Name | Citizens Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
| Entity Name | Capital Anesthesia Solutions of Missouri LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770185472 PECOS PAC ID: 1456764885 Enrollment ID: O20210104001560 |
| Entity Name | Orthomed Staffing LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Podleski, Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-1078 | Jacob Podleski, 1500 N Oakland Ave, Bolivar, MO 65613-3011 Ph: (417) 326-6000 |
Seong-wook Seo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1155 W Parkview St Ste 1c, Bolivar, MO 65613 Phone: 417-326-7246 Fax: 417-777-2968 |