Glady Jacob, MD | |
267 Avery Ln Ste 300, Rome, NY 13441-4240 | |
(315) 356-7390 | |
(315) 356-7393 |
Full Name | Glady Jacob |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 28 Years |
Location | 267 Avery Ln Ste 300, Rome, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831311588 | NPI | - | NPPES |
03351764 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 003788-1 (New York) | Primary |
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 003788-1 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Rome Memorial Hospital, Inc | Rome, NY | Hospital |
Faxton-st Luke's Healthcare | Utica, NY | Hospital |
Lewis County General Hospital | Lowville, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rome Medical Practice Pc | 1456366145 | 8 |
Entity Name | Rome Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184640708 PECOS PAC ID: 1456366145 Enrollment ID: O20060216000443 |
Mailing Address | Practice Location Address |
---|---|
Glady Jacob, MD Po Box 2000, East Syracuse, NY 13057-4500 Ph: (315) 362-5129 | Glady Jacob, MD 267 Avery Ln Ste 300, Rome, NY 13441-4240 Ph: (315) 356-7390 |
Gangadhar Madupu, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1617 N James St, Rome, NY 13440 Phone: 315-533-1025 Fax: 315-533-1006 | |
Dr. Ronald Thesee, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 195 - 199 W. Dominick St., Rome, NY 13440 Phone: 315-272-2730 Fax: 315-337-0675 | |
Dr. Florica Ochotorena-acosta, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 117 West Liberty St, Rome, NY 13440 Phone: 315-337-2582 Fax: 315-337-2580 | |
Dr. Arunadevi Surasani Reddy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 125 Brookley Rd, Rome, NY 13441 Phone: 315-334-7110 | |
Dr. Steven Mark Fogelman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 801 Cypress St, Rome, NY 13440 Phone: 315-339-6536 Fax: 315-339-8089 | |
Ananadavalli Menon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 195-199 W. Dominick St., Rome, NY 13440 Phone: 315-272-2730 Fax: 315-337-0675 |