| Steven R Jacobson, MD | |
|
2518 Superior Dr Nw Ste 104, Rochester, MN 55901-1997 | |
| (507) 398-1900 | |
| (507) 722-2611 |
| Full Name | Steven R Jacobson |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 2518 Superior Dr Nw Ste 104, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104899830 | NPI | - | NPPES |
| 020050087 | Other | MN | RAILROAD MEDICARE |
| 699480600 | Medicaid | MN | |
| 35351400 | Medicaid | WI | |
| ENROLLED | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 43676 (Minnesota) | Primary |
| Entity Name | Olmsted Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952356297 PECOS PAC ID: 8527970060 Enrollment ID: O20031119000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R Jacobson, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Steven R Jacobson, MD 2518 Superior Dr Nw Ste 104, Rochester, MN 55901-1997 Ph: (507) 398-1900 |
Dr. Matthew Peter Fahrenkopf, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Lucas Kreutz Rodrigues, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Khaled Alameddine, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Phillip G Arnold, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Dr. Scott Kyle Odorico, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Dr. Aparna Vijayasekaran, MBBS, MS Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 520-289-4415 |