Dr Maynard E Jacobson, MD is a
Internal Medicine physician based in Sunfish Lake, Minnesota. Dr Maynard E Jacobson is licensed to practice in Minnesota (license number 13512) and his current practice location is 3 Angell Ct, Sunfish Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 451-7401.
NPI number for Dr Maynard E Jacobson is 1982933198 and his current mailing address is 3 Angell Ct, Sunfish Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982933198.
Physician's Profile
| Full Name | Dr Maynard E Jacobson |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 3 Angell Ct, Sunfish Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982933198
- Provider Enumeration Date: 12/17/2009
- Last Update Date: 12/17/2009
Medical Identifiers
Medical identifiers for Dr Maynard E Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982933198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 13512 (Minnesota) | 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 Maynard E Jacobson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Maynard E Jacobson, MD
3 Angell Ct,
Sunfish Lake, MN 55118-4701
Ph: (651) 451-7401 | Dr Maynard E Jacobson, MD
3 Angell Ct,
Sunfish Lake, MN 55118-4701
Ph: (651) 451-7401 |
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