Dr Ed Jacobs, PHD is a
Counselor based in Star City, West Virginia. Dr Ed Jacobs is licensed to practice in West Virginia (license number 650) and his current practice location is
457 Broadway Ave, Star City, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 599-0109.
NPI number for Dr Ed Jacobs is 1831310473 and his current mailing address is 457 Broadway Ave, Star City, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831310473.
Healthcare Provider's Profile
| Full Name | Dr Ed Jacobs |
|---|
| Gender | Male |
|---|
| Speciality | Counselor |
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| Location | 457 Broadway Ave, Star City, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831310473
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Ed Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831310473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 650 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ed Jacobs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ed Jacobs, PHD
457 Broadway Ave,
Star City, WV 26505
Ph: (304) 599-0109 | Dr Ed Jacobs, PHD
457 Broadway Ave,
Star City, WV 26505
Ph: (304) 599-0109 |
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