Anne Usha Jacob, MBBS | |
3649 Page Blvd, Saint Louis, MO 63113-3807 | |
(314) 288-0071 | |
(314) 758-5210 |
Full Name | Anne Usha Jacob |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 3649 Page Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033107636 | NPI | - | NPPES |
350431000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42911 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 2015008169 (Missouri) | Primary |
Entity Name | Ssm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Entity Name | Dedicated Missouri Holding, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053958082 PECOS PAC ID: 5395176820 Enrollment ID: O20200515001886 |
Mailing Address | Practice Location Address |
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Anne Usha Jacob, MBBS 3649 Page Blvd, Saint Louis, MO 63113-3807 Ph: (314) 288-0071 | Anne Usha Jacob, MBBS 3649 Page Blvd, Saint Louis, MO 63113-3807 Ph: (314) 288-0071 |
Alexander Keenan Holbrook, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122 Phone: 314-966-9100 | |
Mrs. Jetuan L Rowley-herron, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010 | |
Amy Elizabeth Roberts, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8888 Ladue Rd Ste 210, Saint Louis, MO 63124 Phone: 314-996-5900 Fax: 314-995-5910 | |
Christopher Brian Espana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5034 Griffin Rd, Saint Louis, MO 63128 Phone: 314-843-7333 Fax: 314-843-9946 | |
Mrs. Teresita Agustin Cometa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-6326 | |
Dr. Michael T Railey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139 Phone: 314-768-3685 Fax: 314-768-3940 | |
Dr. Alan Valente A Padua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13303 Tesson Ferry Rd Ste 100, Saint Louis, MO 63128 Phone: 314-722-4741 Fax: 314-722-4731 |