| Prema M Jacob, MD | |
|
3850 Grant Ave, Suite 100, Loveland, CO 80538-8431 | |
| (970) 776-1862 | |
| (970) 482-9646 |
| Full Name | Prema M Jacob |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 51 Years |
| Location | 3850 Grant Ave, Loveland, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487633533 | NPI | - | NPPES |
| 18905072 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 43958 (Colorado) | Primary |
| 207Q00000X | Family Medicine | 25MA04062800 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckee Medical Center | Loveland, CO | Hospital |
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bender Medical Group Inc | 6204725575 | 5 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1463 |
| Entity Name | Bender Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215027107 PECOS PAC ID: 6204725575 Enrollment ID: O20040313000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Prema M Jacob, MD 4674 Snow Mesa Drive, Suite 140, Fort Collins, CO 80528 Ph: (970) 225-5010 | Prema M Jacob, MD 3850 Grant Ave, Suite 100, Loveland, CO 80538-8431 Ph: (970) 776-1862 |
Dr. Neal Edward Mckimpson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2555 E 13th St Ste 105, Loveland, CO 80537 Phone: 970-820-6300 | |
Nicole M Matthews, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4575 Byrd Dr, Loveland, CO 80538 Phone: 970-593-3300 Fax: 970-962-4901 | |
Susan Janell Morrison, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 5200 Hahns Peak Dr, Loveland, CO 80538 Phone: 970-962-4900 | |
Mrs. Rachel Jane Mommer, DNP, FNP, PMHNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Topaz Dr, Loveland, CO 80537 Phone: 970-617-8128 Fax: 970-639-4475 | |
Dr. Thomas Paul Kasenberg, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 295 E 29th St, Loveland, CO 80538 Phone: 970-669-6000 Fax: 970-669-6002 | |
Jennifer Lynn Mccabe Lentz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 W 6th St, Loveland, CO 80537 Phone: 970-667-3976 Fax: 970-667-8177 | |
Dr. Patrick Lawrence Mallory, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1548 N. Boise Ave, Loveland, CO 80538 Phone: 970-669-9245 Fax: 970-669-9247 |