| Mr Richard Yngve Jacobson Jr, CRNA | |
|
112 Jefferson St, West Union, IA 52175 | |
| (563) 422-3811 | |
| Not Available |
| Full Name | Mr Richard Yngve Jacobson Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 112 Jefferson St, West Union, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023042686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 55485 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 101116 (Iowa) | Primary |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Delaware County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
| Entity Name | Cedar Valley Medical Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462 |
| Entity Name | Hamilton County Public Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497957351 PECOS PAC ID: 1254241565 Enrollment ID: O20031216000775 |
| Entity Name | Cass County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861597122 PECOS PAC ID: 5294634994 Enrollment ID: O20031231000681 |
| Entity Name | Story County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023080504 PECOS PAC ID: 0547153884 Enrollment ID: O20040204000957 |
| Entity Name | Grundy County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114012085 PECOS PAC ID: 6406766435 Enrollment ID: O20040217000174 |
| Entity Name | Waverly Health Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1033125463 PECOS PAC ID: 8820996762 Enrollment ID: O20060925000486 |
| Entity Name | Franklin General Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477637759 PECOS PAC ID: 5799693925 Enrollment ID: O20061104000105 |
| Entity Name | Hamilton County Public Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1295702397 PECOS PAC ID: 1254241565 Enrollment ID: O20061104000151 |
| Entity Name | Grundy County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821055989 PECOS PAC ID: 6406766435 Enrollment ID: O20061104000161 |
| Entity Name | Palmer Lutheran Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1598765398 PECOS PAC ID: 4284544255 Enrollment ID: O20061104000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Yngve Jacobson Jr, CRNA 112 Jefferson St, West Union, IA 52175-1022 Ph: () - | Mr Richard Yngve Jacobson Jr, CRNA 112 Jefferson St, West Union, IA 52175 Ph: (563) 422-3811 |
Barry Spreen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 319-422-3811 | |
Nikki A. Bonitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-7381 | |
Mr. Glenn Ray White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-3811 | |
Kenneth Bryan Beach, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 112 Jefferson St, West Union, IA 52175 Phone: 563-422-9738 |