| Jacob Whetzel, | |
|
1208 6th Ave, Superior, MT 59872-9667 | |
| (406) 822-4801 | |
| Not Available |
| Full Name | Jacob Whetzel |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1208 6th Ave, Superior, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548655368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 70836 (Montana) | Primary |
| Entity Name | Missoula Community Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710165105 PECOS PAC ID: 6709790603 Enrollment ID: O20031114000597 |
| Entity Name | Missoula Community Health Services, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720136088 PECOS PAC ID: 6709790603 Enrollment ID: O20071001000351 |
| Entity Name | Missoula Community Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1902990005 PECOS PAC ID: 6709790603 Enrollment ID: O20190313001297 |
| Entity Name | Missoula Community Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225836554 PECOS PAC ID: 6709790603 Enrollment ID: O20250401000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Whetzel, 1208 6th Ave, Superior, MT 59872-9667 Ph: (406) 822-4801 | Jacob Whetzel, 1208 6th Ave, Superior, MT 59872-9667 Ph: (406) 822-4801 |
Dr. Christopher Hallberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1208 6th Ave, Superior, MT 59872 Phone: 406-822-4841 | |
Kirk Leroy Crews, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1208 6th Ave E., Superior, MT 59872 Phone: 406-822-4803 Fax: 406-822-3848 | |
Gregory S Houlihan, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 6th Ave E, Superior, MT 59822 Phone: 406-822-4278 Fax: 406-822-4912 |