Gregory T Jacobs, DO | |
600 Mary St, Evansville, IN 47710-1674 | |
(812) 450-3405 | |
(812) 450-3099 |
Full Name | Gregory T Jacobs |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 600 Mary St, Evansville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467485607 | NPI | - | NPPES |
200844060 | Medicaid | IN | |
64127962 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 10648 (Montana) | Secondary |
207P00000X | Emergency Medicine | 02003898A (Indiana) | Primary |
207P00000X | Emergency Medicine | 02993 (Kentucky) | Secondary |
Entity Name | University Of Alabama Health Services Foundation, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Mailing Address | Practice Location Address |
---|---|
Gregory T Jacobs, DO Po Box 3407, Evansville, IN 47733-3407 Ph: (812) 450-3405 | Gregory T Jacobs, DO 600 Mary St, Evansville, IN 47710-1674 Ph: (812) 450-3405 |
Dr. Matthew Christopher Gilbert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405 Fax: 812-450-3099 | |
Sonia Denise Winslett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 207 S Lincoln Park Dr, Apt D, Evansville, IN 47714 Phone: 507-254-8228 | |
Audrey Ann Bickel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405 | |
Lori E Sieboldt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Mary St, Evansville, IN 47747 Phone: 812-450-3405 Fax: 812-450-3099 | |
Lindsay Yoder, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47710 Phone: 812-450-3405 | |
Brandon T Charlton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Mary St, Evansville, IN 47747 Phone: 812-450-3405 Fax: 812-450-3099 | |
Dr. Michael S Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Deaconess Hospital, 600 Mary St., Evansville, IN 47747 Phone: 812-450-3405 Fax: 812-450-3099 |