Mr. Michael Blake Jacob, PA-C
Mr. Michael Blake Jacob, PA-C is a Physician Assistant in Plymouth, Minnesota. Qualified in 2017, 9 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 9
- Licensed in
- MN
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2855 Campus DrPlymouth, MN 55441-2649
Phone: (763) 577-7000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 800 E 28th St, Minneapolis, MN 55407-3723 — (612) 863-4000
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 12593 (MN) |
|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X · Licence 12595 (MN) |
Record details
| NPI number | 1821502154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 22, 2017 |
| Last updated in NPPES | March 11, 2021 |
| Certification date | March 11, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Allina Health System — 3867 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |