| Mr Colby Cregg Jacobson, CRNA | |
|
6095 W 9600 N, Highland, UT 84003-9257 | |
| (801) 822-8978 | |
| Not Available |
| Full Name | Mr Colby Cregg Jacobson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 6095 W 9600 N, Highland, Utah |
| 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 |
|---|---|---|---|
| 1982028700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 100710 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heber Valley Hospital | Heber city, UT | Hospital |
| American Fork Hospital | American fork, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Anesthesia Associates | 2668885575 | 2 |
| Legacy Anesthesia Llc | 9234438649 | 5 |
| Nph Anesthesia Of Utah Llc | 9537584313 | 86 |
| Entity Name | Family Surgical Suite |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1508040221 PECOS PAC ID: 6901989003 Enrollment ID: O20080213000228 |
| Entity Name | Legacy Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851764112 PECOS PAC ID: 9234438649 Enrollment ID: O20160505001075 |
| Entity Name | Nph Anesthesia Of Utah Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366077273 PECOS PAC ID: 9537584313 Enrollment ID: O20200811001268 |
| Entity Name | Elite Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922627975 PECOS PAC ID: 2668885575 Enrollment ID: O20210114001879 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Colby Cregg Jacobson, CRNA 6095 W 9600 N, Highland, UT 84003-9257 Ph: (801) 822-8978 | Mr Colby Cregg Jacobson, CRNA 6095 W 9600 N, Highland, UT 84003-9257 Ph: (801) 822-8978 |
Fraser Macfarlane, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9978 N 5680 W, Highland, UT 84003 Phone: 801-756-3446 |