| Carley A Jacobs, PA-C | |
|
2300 Kati Ct Ste A, Shelton, WA 98584-1926 | |
| (360) 426-0955 | |
| Not Available |
| Full Name | Carley A Jacobs |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2300 Kati Ct Ste A, Shelton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093993560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002718 (Virginia) | Primary |
| Entity Name | Public Hospital District No 1 of Mason County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760568752 PECOS PAC ID: 0345139275 Enrollment ID: O20040310001481 |
| Mailing Address | Practice Location Address |
|---|---|
| Carley A Jacobs, PA-C Po Box 1668, Shelton, WA 98584-5001 Ph: (360) 426-0955 | Carley A Jacobs, PA-C 2300 Kati Ct Ste A, Shelton, WA 98584-1926 Ph: (360) 426-0955 |
Mark A. Flores, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 237 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 |
Nissan Armas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 90 Se Klah Che Min Dr, Shelton, WA 98584 Phone: 360-427-9006 |
Mr. Charles W Anderegg, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St Ste A, Shelton, WA 98584 Phone: 360-426-2653 |
Julieth Mcneil, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3303 E Harstine Island Rd S, Shelton, WA 98584 Phone: 407-962-7754 |
Mr. James Stauffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 |
Astiana Marie Stults, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-432-3298 |
Ladd Douglas Rutherford Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 Fax: 888-985-0168 |