| Jacob D Karmazin, PA-C | |
|
145 Memorial Dr, Broken Bow, NE 68822-1378 | |
| (308) 872-2486 | |
| (308) 872-2027 |
| Full Name | Jacob D Karmazin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 145 Memorial Dr, Broken Bow, Nebraska |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811311921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1799 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jennie M Melham Memorial Medical Center | Broken bow, NE | Hospital |
| Chi Health Good Samaritan | Kearney, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Nebraska Medical Clinic Pc | 4486640265 | 8 |
| Jennie M Melham Memorial Medical Center Inc | 5799766440 | 8 |
| Entity Name | Central Nebraska Medical Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578668232 PECOS PAC ID: 4486640265 Enrollment ID: O20040426000695 |
| Entity Name | Jennie M Melham Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366659773 PECOS PAC ID: 5799766440 Enrollment ID: O20040527000928 |
| Entity Name | Twin Rivers Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639248560 PECOS PAC ID: 6406860543 Enrollment ID: O20060127000662 |
| Entity Name | Jennie M Melham Memorial Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538232244 PECOS PAC ID: 5799766440 Enrollment ID: O20071129000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob D Karmazin, PA-C Po Box 690, Broken Bow, NE 68822-0690 Ph: (308) 872-2486 | Jacob D Karmazin, PA-C 145 Memorial Dr, Broken Bow, NE 68822-1378 Ph: (308) 872-2486 |
Mrs. Angie Marie Hunt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Memorial Dr., Broken Bow, NE 68822 Phone: 308-872-2486 Fax: 308-872-2027 |
Mr. Justin Boutwell, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 Memorial Dr, Broken Bow, NE 68822 Phone: 308-872-2486 Fax: 308-872-2027 |
Hallee Elaine Williams, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 145 Memorial Dr, Broken Bow, NE 68822 Phone: 308-872-4100 |