John Jacob, MD | |
1000 Oakland Dr, Kalamazoo, MI 49008-1282 | |
(734) 560-6224 | |
Not Available |
Full Name | John Jacob |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1000 Oakland Dr, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346690948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 4301110446 (Michigan) | Primary |
Entity Name | Neuropsychology Associates Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447209051 PECOS PAC ID: 4385618297 Enrollment ID: O20040825000452 |
Entity Name | Kalamazoo County Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710066253 PECOS PAC ID: 5890730337 Enrollment ID: O20050624000176 |
Entity Name | Western Michigan University School Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316212343 PECOS PAC ID: 7517113954 Enrollment ID: O20120817000243 |
Entity Name | Bronson-acadia Joint Venture Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083337372 PECOS PAC ID: 4688031578 Enrollment ID: O20230713003631 |
Mailing Address | Practice Location Address |
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John Jacob, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-6019 | John Jacob, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (734) 560-6224 |
Dr. Gayle Anne Ruggiero, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1903 W Michigan Ave, Kalamazoo, MI 49008 Phone: 269-387-3290 Fax: 269-387-4494 | |
Gretchen G Barnas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1521 Gull Rd, Kalamazoo, MI 49048 Phone: 269-226-6653 Fax: 269-226-8094 | |
Sugandhi Sridharan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048 Phone: 269-381-7380 Fax: 269-341-4562 | |
Martinson Arnan, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M124, Kalamazoo, MI 49007 Phone: 269-341-7500 Fax: 269-341-7540 | |
Sonia Motin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1530 Nichols Rd, Kalamazoo, MI 49006 Phone: 269-343-6700 | |
Dr. Yanny Phillips, DO, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M-124, Kalamazoo, MI 49007 Phone: 269-341-7500 Fax: 269-341-7540 | |
Simhadri Appanna Botta, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6373 Fax: 269-337-6376 |