Elissa Lee Jacob, is a
Physical Medicine & Rehabilitation physician based in Tunkhannock, Pennsylvania. Elissa Lee Jacob is licensed to practice in Pennsylvania (license number PT025019) and her current practice location is 25 West St, Tunkhannock, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 996-6200.
NPI number for Elissa Lee Jacob is 1134646631 and her current mailing address is 655 Northern Blvd, South Abington Township, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134646631.
Physician's Profile
Full Name | Elissa Lee Jacob |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 25 West St, Tunkhannock, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134646631
- Provider Enumeration Date: 08/25/2017
- Last Update Date: 08/25/2017
Medical Identifiers
Medical identifiers for Elissa Lee Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134646631 | NPI | - | NPPES |
PENDING | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PT025019 (Pennsylvania) | 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. Elissa Lee Jacob 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 |
Elissa Lee Jacob, 655 Northern Blvd, South Abington Township, PA 18411-8740 Ph: (570) 842-9323 | Elissa Lee Jacob, 25 West St, Tunkhannock, PA 18657-1405 Ph: (570) 996-6200 |
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