| Justin A Jacobson, MD | |
|
2831 Fort Missoula Road, Suite 232, Missoula, MT 59804 | |
| (406) 728-6101 | |
| (406) 721-3278 |
| Full Name | Justin A Jacobson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 2831 Fort Missoula Road, Missoula, Montana |
| 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 |
|---|---|---|---|
| 1578572129 | NPI | - | NPPES |
| 157857219 | Medicaid | MT | |
| ENROLLED | Medicaid | MN | |
| ENROLLED | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 104281 (Minnesota) | Secondary |
| 207X00000X | Orthopaedic Surgery | 52250 (Minnesota) | Secondary |
| 207X00000X | Orthopaedic Surgery | 12306 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Medical Center | Missoula, MT | Hospital |
| St. Patrick Hospital | Missoula, MT | Hospital |
| St Luke Community Hospital | Ronan, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Rockies Orthopaedics, Pllp | 6507766227 | 25 |
| Entity Name | Northern Rockies Orthopaedics, Pllp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008077 PECOS PAC ID: 6507766227 Enrollment ID: O20040109000894 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin A Jacobson, MD 2831 Fort Missoula Road, Suite 232, Missoula, MT 59804 Ph: (406) 728-6101 | Justin A Jacobson, MD 2831 Fort Missoula Road, Suite 232, Missoula, MT 59804 Ph: (406) 728-6101 |
Taylor Buckley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2740 South Ave W Ste 101, Missoula, MT 59804 Phone: 406-728-6101 Fax: 406-721-3278 | |
Dr. Stephen George Powell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804 Phone: 406-728-6101 Fax: 406-721-3278 | |
Dr. James Joseph Gholson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-721-6053 | |
Paul Andrew Puckett, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2360 Mullan Rd, Suite C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-721-6053 | |
Dr. Larry R. Stayner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2740 South Ave W Ste 101, Missoula, MT 59804 Phone: 406-728-6101 Fax: 406-721-3278 | |
Dr. Zackery W Witte, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-721-6053 | |
David H Allmacher, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2360 Mullan Rd Ste C, Missoula, MT 59808 Phone: 406-721-4436 Fax: 406-542-1037 |