| Jacob Allan Harder, DPM | |
|
2024 S 6th St, Brainerd, MN 56401-4529 | |
| (218) 828-2880 | |
| Not Available |
| Full Name | Jacob Allan Harder |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 5 Years |
| Location | 2024 S 6th St, Brainerd, Minnesota |
| 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 |
|---|---|---|---|
| 1477117190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD-001084 (Arizona) | Secondary |
| 213E00000X | Podiatrist | 1191 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Josephs Medical Center | 8224948443 | 226 |
| Provider Name | St Josephs Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Allan Harder, DPM 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Jacob Allan Harder, DPM 2024 S 6th St, Brainerd, MN 56401-4529 Ph: (218) 828-2880 |
Stefany Carvalho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-2880 | |
Daniel Ryan, Podiatrist Medicare: Medicare Enrolled Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Annette F Bartel, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-855-5213 | |
Dr. Colin Matthew Zdenek, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7101 | |
Dr. Jessica Tabatt, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7110 |