| Amanda Jacobsen, PA-C | |
|
320 E Central Ave, Decatur, IL 62521-4665 | |
| (217) 877-9117 | |
| Not Available |
| Full Name | Amanda Jacobsen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 320 E Central Ave, Decatur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174296941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.008421 (Illinois) | Primary |
| Entity Name | Community Health Improvement Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467784090 PECOS PAC ID: 4385625342 Enrollment ID: O20040526000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jacobsen, PA-C 1307 Jackson Woods Ct Nw, Cedar Rapids, IA 52405-1920 Ph: (319) 521-3537 | Amanda Jacobsen, PA-C 320 E Central Ave, Decatur, IL 62521-4665 Ph: (217) 877-9117 |
Mary Katherine Kenney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 |
Paul Gurley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 |
Jacob Nuss, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1730 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-329-1000 Fax: 217-329-1055 |
Laura E Law, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 |
Loceean Laney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2120 N 27th St, Decatur, IL 62526 Phone: 217-876-4041 Fax: 217-423-6486 |
Mr. Eric Matthew Carrier, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3131 N Water St, Decatur, IL 62526 Phone: 217-876-5320 Fax: 217-876-5865 |
Ms. Amy Ann Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Southland Dr, Decatur, IL 62521 Phone: 217-425-9264 Fax: 217-425-5983 |