| Jacob Dean Horstman, PA | |
|
1000 Pole Creek Xing, Sidney, NE 69162-2901 | |
| (308) 254-5825 | |
| Not Available |
| Full Name | Jacob Dean Horstman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1000 Pole Creek Xing, Sidney, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184401580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2980 (Nebraska) | Primary |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Entity Name | Cheyenne County Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487736963 PECOS PAC ID: 1658345657 Enrollment ID: O20050301000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Dean Horstman, PA 1500 Fort Sidney Rd Apt 1108, Sidney, NE 69162-2605 Ph: (308) 764-7432 | Jacob Dean Horstman, PA 1000 Pole Creek Xing, Sidney, NE 69162-2901 Ph: (308) 254-5825 |
Sabra D Peetz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Pole Creek Xing, Sidney, NE 69162 Phone: 308-254-5825 |
Francelia Jo Barnes, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 Pole Creek Crossing, Sidney, NE 69162 Phone: 308-249-0521 |
Nicole Linton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Pole Creek Xing, Sidney, NE 69162 Phone: 308-254-1091 Fax: 308-254-4003 |
Angela T Robb, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1625 Dorwart Dr, Sidney, NE 69162 Phone: 308-254-5544 Fax: 308-254-2672 |
Kyle Alan Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 830 Pine St, Sidney, NE 69162 Phone: 308-254-9192 |
Yohanes T. Tot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Pole Creek Crossing, Sidney, NE 69162 Phone: 308-254-5825 |
Tracy D Ray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 645 Osage Street, Sidney Regional Medical Center, Sidney, NE 69162 Phone: 308-254-5825 Fax: 308-254-7258 |