Dr Kenneth Michael Jacob, MD | |
19460 Caladesi Dr, Fort Myers, FL 33967-5572 | |
(913) 707-0826 | |
Not Available |
Full Name | Dr Kenneth Michael Jacob |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 42 Years |
Location | 19460 Caladesi Dr, Fort Myers, Florida |
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 |
---|---|---|---|
1437121829 | NPI | - | NPPES |
100154570D | Medicaid | KS | |
12485021 | Other | BCBS | |
203728035 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R3D70 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Missouri Health Care | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Curators Of The University Of Missouri | 4486759560 | 997 |
Entity Name | The Curators Of The University Of Missouri |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Michael Jacob, MD 19460 Caladesi Dr, Apt/suite, Fort Myers, FL 33967-5572 Ph: (913) 707-0826 | Dr Kenneth Michael Jacob, MD 19460 Caladesi Dr, Fort Myers, FL 33967-5572 Ph: (913) 707-0826 |
Stuart A Bobman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 | |
Victor H Gregory, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Broadway, Fort Myers, FL 33901 Phone: 239-936-2316 | |
Dr. Mai F Saif, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 | |
Dr. Thomas Anderson Elkins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-4068 Fax: 239-936-6989 | |
Mitchell Martinez, MD Radiology Medicare: Medicare Enrolled Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 Fax: 239-834-6106 | |
Peter H. Blitzer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7341 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-489-3420 Fax: 239-489-3219 | |
Dr. Michael J Weiss, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 |