| Flint Dean Jacobson, NP | |
|
166 S 5th St, Montpelier, ID 83254-4959 | |
| (208) 847-3847 | |
| Not Available |
| Full Name | Flint Dean Jacobson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 166 S 5th St, Montpelier, Idaho |
| 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 |
|---|---|---|---|
| 1033837893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 73078 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bear Lake Memorial Hospital | Montpelier, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bear Lake County Memorial Hospital | 5395799860 | 22 |
| Entity Name | Bear Lake County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538916333 PECOS PAC ID: 5395799860 Enrollment ID: O20050912000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Flint Dean Jacobson, NP 166 S 5th St, Montpelier, ID 83254-4959 Ph: () - | Flint Dean Jacobson, NP 166 S 5th St, Montpelier, ID 83254-4959 Ph: (208) 847-3847 |
Alex Michael Carr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-847-1630 | |
Mina L Wayman, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 S 4th St, Montpelier, ID 83254 Phone: 435-755-6061 | |
Kasey L Ward, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-847-1630 |