William M Jacobsen (NPI# 1639176894, PAC ID# 2466404231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1639176894 |
| PAC ID by PECOS | 2466404231 |
| Professional Enrollment ID | I20050221000364 |
| Full Name | William M Jacobsen |
| Address |
2525 E Arizona Biltmore Cir Suite C236 Phoenix AZ 85016-2130 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1986 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030024 | ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2525 E Arizona Biltmore Cir, Suite C236, Phoenix, AZ 85016-2130 |
| Street Address |
2525 E ARIZONA BILTMORE CIR SUITE C236 |
| City | PHOENIX |
| State | AZ |
| Zip | 85016-2130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Stone Iii | Undefined Physician Type (specify) | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Shazia A Malik | Obstetrics/gynecology | Valley Urogynecology Associates Ltd | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 |
| Paul W Dickerson | Chiropractic | Paul W Dickerson Dc, Ltd | 6522 N 16th St, Suite 4, Phoenix, AZ 85016-1343 |
| Jill A Mehlhaf | Anesthesiology | 6245 N 16th St, Phoenix, AZ 85016-1706 | |
| Timothy O Fearon | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| David M Roessler | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Lauri Lazarus | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Ryan Hamic | Physical Therapy | Fearon Physical Therapy PC | 6245 N 24th Pkwy, Suite 105, Phoenix, AZ 85016-2029 |
| Gagandeep Arora | Chiropractic | Innovative Pain and Wellness Plc | 3135 E Lincoln Dr, Suite B, Phoenix, AZ 85016-2301 |
| Laurie Anne Scott | Nurse Practitioner | Innovative Pain and Wellness Plc | 3135 E Lincoln Dr, Suite B, Phoenix, AZ 85016-2301 |
| Find all physicians in zip 85016 | |||
| City | PHOENIX |
| Zip Code | 85016 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PHOENIX + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on William M Jacobsen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.