Jacob Bottelberghe
Jacob Bottelberghe is a Physician Assistant in Marshall, Minnesota. Qualified in 2019, 7 years ago. Practices with Avera Marshall, a 100-clinician group and accepts Medicare assignment.
- Years since qualifying
- 7
- In the registry since
- 2019
Practice location Address checks out
300 S Bruce StMarshall, MN 56258-1934
Phone: (507) 537-9165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1346894748 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 25, 2019 |
| Last updated in NPPES | July 25, 2019 |
| Mailing address | 1107 300th St, Minneota, MN 56264-1103 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Avera Marshall — 100 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Marshall
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Emma B Bengtson, PHYSICIANASSISTANT
1521 Carlson St, Marshall, MN 56258-2626 · (507) 476-4800
-
MS. Laura Anne Dorman, PA-C
300 S Bruce St, Marshall, MN 56258-1934 · (507) 537-9007
-
Miss. Kate Marie Hegna, PA-C
300 S Bruce St, Marshall, MN 56258-1934 · (507) 532-9661
-
John R. K. Kass, PA-C
300 S Bruce St, Marshall, MN 56258-1934 · (507) 537-9007
-
Taylor Renee Kor
300 S Bruce St, Marshall, MN 56258-1934 · (507) 532-9661