Dr Jacob James Sandoz, MD | |
210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | |
(337) 332-2178 | |
Not Available |
Full Name | Dr Jacob James Sandoz |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 210 Champagne Blvd, Breaux Bridge, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285130914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 327599 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | 327599 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Abrom Kaplan Memorial Hospital | Kaplan, LA | Hospital |
St Martin Hospital | Breaux bridge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Martin Emergency Group Llc | 0840444683 | 11 |
Eunice Emergency Group Llc | 3476507849 | 11 |
Vermilion Emergency Group Llc | 8820148554 | 14 |
Entity Name | Lafayette Health Ventures Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263 |
Entity Name | Eunice Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104895689 PECOS PAC ID: 3476507849 Enrollment ID: O20050309000026 |
Entity Name | Vermilion Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215161096 PECOS PAC ID: 8820148554 Enrollment ID: O20090618000010 |
Entity Name | St Martin Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710231774 PECOS PAC ID: 0840444683 Enrollment ID: O20130204000235 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacob James Sandoz, MD 302 Richland Ave Unit 106c, Lafayette, LA 70508-6797 Ph: (337) 247-1883 | Dr Jacob James Sandoz, MD 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 Ph: (337) 332-2178 |
Dr. Brandon Scott Ammon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2178 |