| Matthew Jacobson, APRN | |
|
108 20th Street, Torrington, WY 82440-2812 | |
| (307) 269-0947 | |
| Not Available |
| Full Name | Matthew Jacobson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 108 20th Street, Torrington, Wyoming |
| 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 |
|---|---|---|---|
| 1003360991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 25098.1537 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Torrington, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cowboy Clinic And Urgent Care Llc | 1456691013 | 2 |
| Entity Name | Cowboy Clinic And Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750892436 PECOS PAC ID: 1456691013 Enrollment ID: O20190318001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Jacobson, APRN 108 20th Street, Torrington, WY 82440-2812 Ph: (307) 269-0947 | Matthew Jacobson, APRN 108 20th Street, Torrington, WY 82440-2812 Ph: (307) 269-0947 |
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