Dr Brent Jacobus Ii, MD | |
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
(937) 257-0837 | |
Not Available |
Full Name | Dr Brent Jacobus Ii |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Sleep Medicine |
Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447757406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084S0012X | Psychiatry & Neurology - Sleep Medicine | 01083389A (Indiana) | Primary |
Entity Name | Jacobus Family Enterprises Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861274979 PECOS PAC ID: 1052750379 Enrollment ID: O20240419001389 |
Mailing Address | Practice Location Address |
---|---|
Dr Brent Jacobus Ii, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: () - | Dr Brent Jacobus Ii, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-0837 |
Dr. Caelan Mary Johnson Ford, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 88mdg/sghj, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-7218 Fax: 937-257-0417 | |
Dr. Jeffrey William Weiser, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright-patterson Medical Center, Wright Patterson Afb, OH 45433 Phone: 937-257-6877 | |
Dr. Rian Michael Laub, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, 88mdg/sgne, Wright Patterson Afb, OH 45433 Phone: 617-448-2383 | |
Kathryn Myers, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-6877 | |
Dr. Henrik Close Iv, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 | |
Dr. Mark Edward Hubner, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, 88mdg/sgohe, Wright Patterson Afb, OH 45433 Phone: 937-257-1942 |