| Kase Allen Jacobs, | |
|
112 Saint Olaf Ave S, Canby, MN 56220-1433 | |
| (507) 223-7277 | |
| Not Available |
| Full Name | Kase Allen Jacobs |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 112 Saint Olaf Ave S, Canby, Minnesota |
| 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 |
|---|---|---|---|
| 1336857655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9955 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson Memorial Hospital | Dawson, MN | Hospital |
| Sanford Canby Medical Center | Canby, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johnson Memorial Health Services | 5395653836 | 16 |
| Sanford Health Network | 6800707100 | 307 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013921733 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1851305296 PECOS PAC ID: 6800707100 Enrollment ID: O20070726000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Kase Allen Jacobs, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Kase Allen Jacobs, 112 Saint Olaf Ave S, Canby, MN 56220-1433 Ph: (507) 223-7277 |
Mrs. Holly L Gisi-york, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277 Fax: 605-884-4300 | |
Michelle Marie Danielson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277 |