Dr Sam F Jacoby, DDS is a
Dentist based in Bridgeport, Nebraska. Dr Sam F Jacoby is licensed to practice in Nebraska (license number 4650) and his current practice location is
1006 Main Street, Bridgeport, Nebraska. He can be reached at his office (for appointments etc.) via phone at
(308) 262-1434.
NPI number for Dr Sam F Jacoby is 1184835183 and his current mailing address is 1006 Main Street, P.o. Box 864, Bridgeport, Nebraska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184835183.
Healthcare Provider's Profile
Full Name | Dr Sam F Jacoby |
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Gender | Male |
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Speciality | Dentist |
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Location | 1006 Main Street, Bridgeport, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184835183
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Sam F Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184835183 | NPI | - | NPPES |
47-071304413 | Medicaid | NE | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4650 (Nebraska) | Primary |
122300000X | Dentist | 105307 (Colorado) | Secondary |
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 Sam F Jacoby 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 Sam F Jacoby, DDS 1006 Main Street, P.o. Box 864, Bridgeport, NE 69336-0864 Ph: (308) 262-1434 | Dr Sam F Jacoby, DDS 1006 Main Street, Bridgeport, NE 69336-0864 Ph: (308) 262-1434 |
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