Dr Mark David Jacobson, MD | |
769 Highway 466, Lady Lake, FL 32159-6340 | |
(352) 261-5502 | |
(352) 350-5942 |
Full Name | Dr Mark David Jacobson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 36 Years |
Location | 769 Highway 466, Lady Lake, 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 |
---|---|---|---|
1306894423 | NPI | - | NPPES |
376466400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME67158 (Florida) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | ME67158 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Coral Hospital | Cape coral, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Imagingand Therapeutics Llc | 5597901603 | 4 |
Entity Name | Inverness Medical Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763591 PECOS PAC ID: 3870590672 Enrollment ID: O20061108000195 |
Entity Name | Medical Imaging& Therapeutics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528308350 PECOS PAC ID: 5597901603 Enrollment ID: O20130416000462 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark David Jacobson, MD 922 Shore Acres Dr, Leesburg, FL 34748-9269 Ph: (352) 261-5502 | Dr Mark David Jacobson, MD 769 Highway 466, Lady Lake, FL 32159-6340 Ph: (352) 261-5502 |
Dr. Sachin Shrinivas Kamath, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N Us Hwy 441, Suite 540, Lady Lake, FL 32159 Phone: 352-561-3290 Fax: 352-561-3291 | |
Dr. Marshall Salvatore Grillo Sr., DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 5239 Grove Mnr, Lady Lake, FL 32159 Phone: 352-753-7591 Fax: 352-753-7591 | |
Dr. Kenneth Lee Bowman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1150 Salido Ave, Lady Lake, FL 32159 Phone: 715-610-7401 Fax: 844-395-8871 | |
Dr. Lawrence Bruce Berk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N Us Highway 441 Ste 540, Lady Lake, FL 32159 Phone: 352-753-9777 Fax: 866-446-1888 | |
David John Catalano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 922 Rolling Acres Rd, Suite 1, Lady Lake, FL 32159 Phone: 352-674-6300 Fax: 352-753-6399 |