Dr Richard Keith Jacob Jr, MD | |
2151 W Spring St Ste B210, Monroe, GA 30655 | |
(770) 207-5738 | |
(770) 266-7346 |
Full Name | Dr Richard Keith Jacob Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 19 Years |
Location | 2151 W Spring St Ste B210, Monroe, Georgia |
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 |
---|---|---|---|
1316061179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 05881 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Walton Hospital | Monroe, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Providers Llc | 9830082825 | 367 |
Entity Name | Piedmont Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Keith Jacob Jr, MD 2151 W Spring St Ste B210, Monroe, GA 30655-3214 Ph: (770) 207-5738 | Dr Richard Keith Jacob Jr, MD 2151 W Spring St Ste B210, Monroe, GA 30655 Ph: (770) 207-5738 |
Michael Brandon Williams, MD Surgery Medicare: Medicare Enrolled Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 | |
Dr. Nathaniel Leon Hill Ii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 Fax: 770-266-7346 | |
Dr. Rosemary Chickos, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2151 W Spring St Ste B210, Monroe, GA 30655 Phone: 770-207-5738 Fax: 770-266-7346 | |
Dr. Cesar Medalla Delima, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 Alcovy Street, Suite 10, Monroe, GA 30655 Phone: 770-267-2790 Fax: 770-207-0652 |