Richard R Jacobs, MD | |
2801 Clearwater Ct, Joplin, MO 64801-8239 | |
(732) 233-0640 | |
Not Available |
Full Name | Richard R Jacobs |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 2801 Clearwater Ct, Joplin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447457171 | NPI | - | NPPES |
201014850 | Medicaid | IN | |
2SMA06320300 | Other | NJ | STATE LICENSE |
000000705885 | Other | IN | ANTHEM PROVIDER NUMBER |
0432464 | Other | KS | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 036117769 (Illinois) | Primary |
2085R0001X | Radiology - Radiation Oncology | 01067878A (Indiana) | Secondary |
Entity Name | Somc Medical Care Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Mailing Address | Practice Location Address |
---|---|
Richard R Jacobs, MD 1865 Admiral Ct, Glenview, IL 60026-8055 Ph: (702) 582-7540 | Richard R Jacobs, MD 2801 Clearwater Ct, Joplin, MO 64801-8239 Ph: (732) 233-0640 |
Dr. John K Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1213 Fax: 417-347-6266 | |
Dr. Enock Elie Faustin, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-6611 Fax: 417-347-6662 | |
Ms. Jane Seto, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Yara Touma, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Dr. Luciano De Lima Villarinho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5521 | |
Dr. Richard J Price, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 Fax: 760-520-8523 | |
Dr. Lowell Kenneth Pottenger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4400 Eden Hall Ln, Joplin, MO 64803 Phone: 417-781-4090 Fax: 414-782-1601 |