Dr Lisa Maria Jacob, MD is a medicare enrolled "Plastic Surgery" physician in Wilkes Barre, Pennsylvania. Her current practice location is
675 Baltimore Drive, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 808-6400.
Dr Lisa Maria Jacob is licensed to practice in Pennsylvania (license number MD452576) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700077237.
Physician's Profile
Full Name | Dr Lisa Maria Jacob |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 675 Baltimore Drive, Wilkes Barre, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Lisa Maria Jacob attended and graduated from in
NPI Data:
- NPI Number: 1700077237
- Provider Enumeration Date: 08/08/2007
- Last Update Date: 08/11/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Lisa Maria Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700077237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 25MA08245300 (New Jersey) | Secondary |
208200000X | Plastic Surgery | 24109 (West Virginia) | Secondary |
208200000X | Plastic Surgery | MD452576 (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 Lisa Maria Jacob is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lisa Maria Jacob, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Dr Lisa Maria Jacob, MD 675 Baltimore Drive, Wilkes Barre, PA 18702-3306 Ph: (570) 808-6400 |
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