Jacob Thomas, MD | |
2600 Ferry St, Lafayette, IN 47904-3055 | |
(765) 448-8000 | |
(765) 838-4698 |
Full Name | Jacob Thomas |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 2600 Ferry St, Lafayette, Indiana |
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 |
---|---|---|---|
1891957981 | NPI | - | NPPES |
000000781555 | Other | IN | ANTHEM PROVIDER NUMBER FOR TIN 35-2030653 |
201083560 | Medicaid | IN | |
036128570 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-128570 (Illinois) | Primary |
208M00000X | Hospitalist | 01071565A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Carlinville Area Hospital | Carlinville, IL | Hospital |
Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
Harrison County Hospital | Corydon, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Macoupin Physician Services, Pc | 7416345947 | 11 |
Clarksville Physician Services Pc | 3476937756 | 37 |
Hospitalist Medicine Physicians Of Indiana Llc | 7719119965 | 27 |
Entity Name | Carlinville Area Hospital Association |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1053425124 PECOS PAC ID: 9032021373 Enrollment ID: O20080422000666 |
Entity Name | Macoupin Physician Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013686302 PECOS PAC ID: 7416345947 Enrollment ID: O20211102001556 |
Mailing Address | Practice Location Address |
---|---|
Jacob Thomas, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Jacob Thomas, MD 2600 Ferry St, Lafayette, IN 47904-3055 Ph: (765) 448-8000 |
Michelle B Herberts, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8564 | |
Dr. Carlos Salazar Carcamo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-583-2444 | |
Maria L Srour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7631 | |
Steven Rudolf Steinhubl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4333 | |
Michael Leo Hogan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 Fax: 765-775-2831 | |
Carlos A Gambirazio, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7624 | |
Dr. Christopher Patrick Kaup, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698 |