Jeffrey Robert Jacobs, MD | |
6439 Garners Ferry Rd, Columbia, SC 29209-1638 | |
(803) 776-4000 | |
Not Available |
Full Name | Jeffrey Robert Jacobs |
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Gender | Male |
Speciality | General Practice |
Location | 6439 Garners Ferry Rd, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154454098 | NPI | - | NPPES |
1154454098 | Medicaid | ID | |
110807 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 27866 (South Carolina) | Secondary |
208D00000X | General Practice | 27866 (South Carolina) | Primary |
Entity Name | Healogics Specialty Physicians Of South Carolina Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033531850 PECOS PAC ID: 8325261209 Enrollment ID: O20140521002244 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Robert Jacobs, MD 100 Aurora Pl Ste 100, Aiken, SC 29801-5319 Ph: (803) 643-2090 | Jeffrey Robert Jacobs, MD 6439 Garners Ferry Rd, Columbia, SC 29209-1638 Ph: (803) 776-4000 |
Dr. Richard Zhang Cheng, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6149 Saint Andrews Rd, Suite C, Columbia, SC 29212 Phone: 803-233-3420 Fax: 888-688-1934 | |
Dr. Andrew R Donato, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 Fax: 833-450-5915 | |
Dr. Joel S Waldrop, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 | |
Warren Snoddy, General Practice Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Dr. Gary Mosher Jones, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2004 Riding Ridge Rd, Columbia, SC 29223 Phone: 803-788-2302 Fax: 803-788-2302 | |
Dr. Gail Regina Dillard-washington, MD General Practice Medicare: Medicare Enrolled Practice Location: 4808 Colonial Dr, Columbia, SC 29203 Phone: 803-888-1106 Fax: 803-602-0035 | |
Vallabh O Patel, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2200 Harden St, Columbia, SC 29203 Phone: 803-898-8405 |