Look up the most recent NPI and PECOS records

Jacob Bettesworth

Anesthesiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Jacob Bettesworth is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1730349572
Provider Type
Individual
Full Name
Bettesworth, Jacob
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
6/16/2008
Last Updated
11/14/2016

Contact Information

Practice Location

101 W 8th Ave, Spokane, WA 99204-2307

(509) 474-3131

Unlisted Fax

Mailing Location

PO Box 94645, Seattle, WA 98124-6945

(509) 474-3131

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License OP60344220 Washington
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 58.002432 Ohio

Jacob Bettesworth

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Michels, Patricia E

Falter, Thomas Ryan

Kaneshige, Gary Donald

Bartsch, Tiffany Lane

Mckenna, John Joseph

Thornton, Donald Alan

Hay, John Michael

Kellogg, Glenn

Rietze, Stacey Alan

Madrian, James R