| John Jacobson, MD | |
| 1400 Bellinger St, Eau Claire, WI 54703-5222 | |
| (715) 838-5222 | |
| Not Available | 
| Full Name | John Jacobson | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1400 Bellinger St, Eau Claire, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508829748 | NPI | - | NPPES | 
| 149120 | Medicaid | OR | |
| 208973 | Other | WA L & I | |
| 858543009 | Other | REGENCE BCBS | |
| 8142002 | Medicaid | WA | |
| P00232007 | Other | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD10574 (Oregon) | Secondary | 
| 207P00000X | Emergency Medicine | 25304-20 (Wisconsin) | Primary | 
| Entity Name | Sky Lakes Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 | 
| Entity Name | Southern Coos Health District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588684484 PECOS PAC ID: 1951219310 Enrollment ID: O20040526000542 | 
| Entity Name | Mid-valley Healthcare Inc | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 | 
| Entity Name | Samaritan Pacific Health Services Inc | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 | 
| Entity Name | Asante Ashland Community Hospital Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730628827 PECOS PAC ID: 7012286859 Enrollment ID: O20180426001620 | 
| Entity Name | Western Healthcare Services Texas | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336878024 PECOS PAC ID: 7911388202 Enrollment ID: O20220718002665 | 
| Mailing Address | Practice Location Address | 
|---|---|
| John Jacobson, MD 1400 Bellinger St, Eau Claire, WI 54703-5222 Ph: (715) 838-5222 | John Jacobson, MD 1400 Bellinger St, Eau Claire, WI 54703-5222 Ph: (715) 838-5222 | 
| Thomas K. Hunt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3802 Oakwood Mall Dr, Eau Claire, WI 54701 Phone: 715-839-9280 | |
| Jeffrey J Groshens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
| Mr. Daniel David Kaisler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-3311 | |
| Michael Arthur Aristides Bezzerides, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
| Matthew Olmstead, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-3635 | |
| Tracy Marko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
| Cheryl M Colbenson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-717-4121 |