| Mr Michael D Jacobson, PA-C | |
|
2121 E Harmony Rd, Suite 300, Fort Collins, CO 80528-3400 | |
| (970) 224-9102 | |
| (970) 224-9112 |
| Full Name | Mr Michael D Jacobson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 2121 E Harmony Rd, Fort Collins, Colorado |
| 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 |
|---|---|---|---|
| 1013959188 | NPI | - | NPPES |
| 19730136 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110002152 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA.0004358 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Sentara Careplex Hospital | Hampton, VA | Hospital |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael D Jacobson, PA-C 2121 E Harmony Rd, Suite 300, Fort Collins, CO 80528-3400 Ph: (970) 224-9102 | Mr Michael D Jacobson, PA-C 2121 E Harmony Rd, Suite 300, Fort Collins, CO 80528-3400 Ph: (970) 224-9102 |
Ms. Roberta J Brooks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2127 E Harmony Rd, Suite 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260 | |
Eric Christopher Heckman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-0521 | |
Carter Smith, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-1794 | |
Heather L. Freeman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Laura Lynn Madigan, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2121 E Harmony Rd, Suite 310, Fort Collins, CO 80528 Phone: 970-221-3855 | |
Mr. Micheal Deitz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2315 E Harmony Rd Ste 170, Fort Collins, CO 80528 Phone: 970-495-8450 |