John P Jacobs, MD | |
1401 Chester Blvd, Richmond, IN 47374-1908 | |
(765) 983-3168 | |
(765) 983-3275 |
Full Name | John P Jacobs |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 1401 Chester Blvd, Richmond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568454163 | NPI | - | NPPES |
000000588411 | Other | IN | ANTHEM PIN |
1487680518 | Other | IN | GROUP NPI |
200288740 | Other | IN | GROUP MEDICAID |
200109120 | Medicaid | IN | |
100194370 | Other | IN | GROUP MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 01045864 (Indiana) | Primary |
Entity Name | Franciscan Health Lafayette |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538253521 PECOS PAC ID: 6204747470 Enrollment ID: O20081202000176 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
Mailing Address | Practice Location Address |
---|---|
John P Jacobs, MD 225 E North St Apt 505, Indianapolis, IN 46204-1334 Ph: (317) 955-9747 | John P Jacobs, MD 1401 Chester Blvd, Richmond, IN 47374-1908 Ph: (765) 983-3168 |
Thomas P. Glynn Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3000 | |
William A. Lynn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Reid Parkway, Richmond, IN 47374 Phone: 765-983-3000 | |
Dr. Tyler Brooks Fredenburg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3164 Fax: 765-983-3260 | |
Kaleigh Nicole Streicher, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3000 | |
Michael G. Khamis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3164 | |
Dr. Edgardo M Sayoc, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1401 Chester Blvd, Richmond, IN 47374 Phone: 765-983-3033 Fax: 765-983-3044 | |
Jeremy Arthur Lindahl, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3000 |