Dr Mark Edward Jacobson, MD | |
30575 Woodward Ave Ste 100, Royal Oak, MI 48073-0986 | |
(248) 280-8550 | |
(248) 280-8571 |
Full Name | Dr Mark Edward Jacobson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 16 Years |
Location | 30575 Woodward Ave Ste 100, Royal Oak, Michigan |
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 |
---|---|---|---|
1053561449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 57.014767 (Ohio) | Secondary |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 4301105117 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Beaumont Hospital - Farmington Hills | Farmington hills, MI | Hospital |
Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
Michigan Orthopaedic Surgeons Pllc | 7810277811 | 106 |
Entity Name | Shoreline Orthopaedic & Sports Medicine Clinic,plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275579765 PECOS PAC ID: 6002891926 Enrollment ID: O20040623000868 |
Entity Name | Michigan Orthopaedic Surgeons Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306394309 PECOS PAC ID: 7810277811 Enrollment ID: O20161208002428 |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Edward Jacobson, MD 30575 Woodward Ave Ste 100, Royal Oak, MI 48073-0986 Ph: (248) 280-8550 | Dr Mark Edward Jacobson, MD 30575 Woodward Ave Ste 100, Royal Oak, MI 48073-0986 Ph: (248) 280-8550 |
Dr. David M Montgomery, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 30575 Woodward Ave, Royal Oak, MI 48073 Phone: 248-280-8550 Fax: 248-280-8567 | |
Justin Taylor Deslaurier, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Dr. Ali Hassan Jawad, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Robert Scott Dean, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd Ste 742, Royal Oak, MI 48073 Phone: 248-551-9100 | |
Jacob Kasper, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Kaleb Howard, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |