Jacob Yetzer (NPI# 1588823983, PAC ID# 5698999415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1588823983 |
| PAC ID by PECOS | 5698999415 |
| Professional Enrollment ID | I20161019000894 |
| Full Name | Jacob Yetzer |
| Organization Legal Name | DAVID J RALLIS DDS MD ORAL AND MAXILLOFACIAL SURGERY, PC |
| Address |
2600 S 56th St A Lincoln NE 68506-3745 |
| Phone Number | 4023279400 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 3870622954 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280003 | BRYAN MEDICAL CENTER |
| 280020 | CHI HEALTH ST ELIZABETH |
| Address | Phone | Organization |
|---|---|---|
| 2600 S 56th St A, Lincoln, NE 68506-3745 | 4023279400 | DAVID J RALLIS DDS MD ORAL AND MAXILLOFACIAL SURGERY, PC |
| 2600 S 56th St A, Nebraska Oral and Facial Surgery, Lincoln, NE 68506-3745 | 4023279400 | DAVID J RALLIS DDS MD ORAL AND MAXILLOFACIAL SURGERY, PC |
| Organization Legal Name | DAVID J RALLIS DDS MD ORAL AND MAXILLOFACIAL SURGERY, PC |
| Physicians | 1 |
| Street Address |
2600 S 56TH ST A |
| City | LINCOLN |
| State | NE |
| Zip | 68506-3745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurel B Van Ham | Psychologist, Clinical | 4150 S St, Lincoln, NE 68506-1152 | |
| Jeffrey E Jarrett | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Kevin J Reichmuth | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Radu F Neamu | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Ali Piper | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Erin N Moses | Physician Assistant | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Sarah R Dolezal | Physician Assistant | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Ann E Walker | Nurse Practitioner | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| John F Trapp | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Jonathan Lee Spencer | Pulmonary Disease | Nebraska Pulmonary Specialties LLC | 1500 S 48th St, Suite 800, Lincoln, NE 68506-1200 |
| Find all physicians in zip 68506 | |||
| City | LINCOLN |
| Zip Code | 68506 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | LINCOLN + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Jacob Yetzer.
| 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.