Deasia Dominique Jacob, MD | |
501 W 7th St, Frederick, MD 21701-4586 | |
(240) 215-6310 | |
(240) 439-8910 |
Full Name | Deasia Dominique Jacob |
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Gender | Female |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 501 W 7th St, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619339728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | D93654 (Maryland) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | D0093827 (Maryland) | Primary |
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Entity Name | Frederick Health Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619258225 PECOS PAC ID: 9931341096 Enrollment ID: O20130820000555 |
Mailing Address | Practice Location Address |
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Deasia Dominique Jacob, MD 400 W 7th St, Frederick, MD 21701-4506 Ph: () - | Deasia Dominique Jacob, MD 501 W 7th St, Frederick, MD 21701-4586 Ph: (240) 215-6310 |
Jesus Esquivel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7211 Bank Ct Ste 200, Frederick, MD 21703 Phone: 240-575-2526 Fax: 240-439-8910 | |
Dr. Max Eugene Wingerd, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 74 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-694-3200 Fax: 301-662-5288 | |
Dennis S Wang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-575-2526 | |
Dr. Shyam Sundar Jayaraman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 194 Thomas Johnson Dr Ste C, Frederick, MD 21702 Phone: 240-575-2526 | |
Scott E Andochick, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 81 Thomas Johnson Ct, Ste A, Frederick, MD 21702 Phone: 301-620-4200 Fax: 301-620-0879 | |
Dr. Narayan Deshmukh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3840 | |
Dr. Manuel Antonio Casiano, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 74 Thomas Johnson Dr, Frederick, MD 21702 Phone: 301-694-3200 Fax: 301-662-5288 |