Dr Jinsy Anne Jacob, MD | |
2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6338 | |
(702) 214-5948 | |
(702) 214-9439 |
Full Name | Dr Jinsy Anne Jacob |
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Gender | Female |
Speciality | Pediatrics |
Location | 2225 Civic Center Dr, North Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124433610 | NPI | - | NPPES |
1124433610 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C181719 (California) | Secondary |
208000000X | Pediatrics | 16659 (Nevada) | Primary |
Entity Name | Atlantic Emergency Physician Team Pediatric Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700809092 PECOS PAC ID: 8628982378 Enrollment ID: O20031117000581 |
Entity Name | Middlesex Emergency Physicians, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811921760 PECOS PAC ID: 9931002854 Enrollment ID: O20040129000034 |
Entity Name | Plainfield Emergency Physicians, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309680 PECOS PAC ID: 7719972728 Enrollment ID: O20040419001065 |
Entity Name | Emergency Physician Associates Of South Jersey P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215965231 PECOS PAC ID: 5294648457 Enrollment ID: O20040824001263 |
Mailing Address | Practice Location Address |
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Dr Jinsy Anne Jacob, MD 3325 Research Way, Carson City, NV 89706-7913 Ph: (775) 888-6610 | Dr Jinsy Anne Jacob, MD 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6338 Ph: (702) 214-5948 |
Sandra Lipovaca, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1905 Civic Center Dr, North Las Vegas, NV 89030 Phone: 702-877-9514 Fax: 702-312-3510 | |
Vaneeta V Kubal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 W Cheyenne Ave, Suite #208, North Las Vegas, NV 89032 Phone: 702-648-8116 Fax: 702-648-8259 | |
Angela Stefan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2290 Mcdaniel St Ste 1b, North Las Vegas, NV 89030 Phone: 702-649-1980 Fax: 702-642-2930 | |
Dr. Emmanuel V Taguba, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2031 Mcdaniel St, Suite 220, North Las Vegas, NV 89030 Phone: 702-642-1409 Fax: 702-642-3675 | |
Mr. Gabriel P Carpo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 E Cheyenne Ave Ste 100, North Las Vegas, NV 89030 Phone: 702-633-4000 Fax: 702-633-4346 | |
Dr. Sotero Festin Fabella, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1905 Mcdaniel St, Ste 102, North Las Vegas, NV 89030 Phone: 702-649-1980 Fax: 702-642-2930 |