| Scott Alan Jacobs, PA-C | |
|
650 Huebner Rd, Fort Riley, KS 66442-4030 | |
| (785) 239-3627 | |
| Not Available |
| Full Name | Scott Alan Jacobs |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 650 Huebner Rd, Fort Riley, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083349641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15994 (Texas) | Primary |
| Entity Name | Emergency Services of Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174932131 PECOS PAC ID: 7517289291 Enrollment ID: O20141208002099 |
| Entity Name | Longhorn Emergency Medical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Entity Name | Pearsall Emergency Medicine Associates, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104326263 PECOS PAC ID: 1557623147 Enrollment ID: O20180319002335 |
| Entity Name | Bluff Creek Emergency Medicine Associates, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679071690 PECOS PAC ID: 1355605924 Enrollment ID: O20180507001763 |
| Entity Name | Hospitalist Medicine Physicians of Texas - Houston, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760028740 PECOS PAC ID: 2860881125 Enrollment ID: O20211109000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Alan Jacobs, PA-C 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-3627 | Scott Alan Jacobs, PA-C 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-3627 |
Henry Collett, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 362-778-5239 |
Mr. Jeffery Keith Mincks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Caisson Hill Road, Ctmc, Fort Riley, KS 66442 Phone: 785-239-4411 |
Mr. Timothy Alan Vandruff Ii, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 913-242-4477 |
Jason Mccormick, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 915-742-0402 |
Megan A Yem, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7777 |
John Richard Gralow, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Caisson Hill Road, Irwin Army Community Hospital, Fort Riley, KS 66442 Phone: 785-239-7155 Fax: 785-239-7364 |
Sandeep Manandhar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 218-731-5666 |