Shibin Thomas Jacob, MD | |
101 E W T Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262-3485 | |
(704) 863-5847 | |
Not Available |
Full Name | Shibin Thomas Jacob |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 29 Years |
Location | 101 E W T Harris Blvd, Charlotte, North Carolina |
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 |
---|---|---|---|
1003867839 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
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Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Atrium Health University City | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carolinas Medical Center | 4789597477 | 783 |
Entity Name | Carolinas Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116 |
Mailing Address | Practice Location Address |
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Shibin Thomas Jacob, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Shibin Thomas Jacob, MD 101 E W T Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262-3485 Ph: (704) 863-5847 |
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