Dr Jonathan M Jacobs, MD | |
5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 | |
(315) 452-2555 | |
(315) 452-2559 |
Full Name | Dr Jonathan M Jacobs |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 5100 W Taft Rd, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114919917 | NPI | - | NPPES |
01428151 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 174853 (New York) | Primary |
Entity Name | Prospect Hill Radiology Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235122425 PECOS PAC ID: 6204806862 Enrollment ID: O20040729001373 |
Entity Name | St. Josephs Imaging Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093709180 PECOS PAC ID: 5991775553 Enrollment ID: O20040729001400 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan M Jacobs, MD 4567 Crossroads Park Dr, 2nd Floor, Liverpool, NY 13088-3589 Ph: (315) 295-2100 | Dr Jonathan M Jacobs, MD 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 Ph: (315) 452-2555 |
Dr. Gary D Leavitt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Edward Randolph Noble Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. John P Teixeira, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Sherwin C Pollock, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Carmelita V Sanpedro, M.D Radiology Medicare: Not Enrolled in Medicare Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 | |
Dr. Wilfred Carey Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088 Phone: 315-452-2555 Fax: 315-452-2559 |