Dr Bruce E Jacobs, DO is a
Family Medicine physician based in Luzerne, Pennsylvania. Dr Bruce E Jacobs is licensed to practice in Pennsylvania (license number OS008757L) and his current practice location is 205 Main St, Luzerne, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 459-9730.
NPI number for Dr Bruce E Jacobs is 1447219027 and his current mailing address is 105 Perrin Ave Apt A, Shavertown, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447219027.
Physician's Profile
| Full Name | Dr Bruce E Jacobs |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 205 Main St, Luzerne, Pennsylvania |
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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: 1447219027
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 06/05/2018
Medical Identifiers
Medical identifiers for Dr Bruce E Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447219027 | NPI | - | NPPES |
| 001571274 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS008757L (Pennsylvania) | 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 Bruce E 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 Bruce E Jacobs, DO
105 Perrin Ave Apt A,
Shavertown, PA 18708-1453
Ph: (570) 901-1749 | Dr Bruce E Jacobs, DO
205 Main St,
Luzerne, PA 18709
Ph: (570) 459-9730 |
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