Steven D Jacobson, MD | |
25a June St Ste 111, Sanford, ME 04073-2642 | |
(207) 324-4310 | |
Not Available |
Full Name | Steven D Jacobson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 25a June St Ste 111, Sanford, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558369702 | NPI | - | NPPES |
110230748 | Other | MO | CHAMPUS |
110230748 | Other | MO | RAILROAD MEDICARE |
100236 | Other | MO | GROUP HEALTH PLAN |
10292 | Other | MO | BLUE CROSS/BLUE SHIELD |
171748 | Other | MO | HEALTHLINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 100177 (Missouri) | Secondary |
207R00000X | Internal Medicine | 27201 (Maine) | Primary |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Steven D Jacobson, MD 338 Camellia Dr, Saint Louis, MO 63119-4508 Ph: (314) 397-9831 | Steven D Jacobson, MD 25a June St Ste 111, Sanford, ME 04073-2642 Ph: (207) 324-4310 |
George N Batty, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 Industrial Ave Ste 101, Sanford, ME 04073 Phone: 207-459-1666 | |
Anna Marie Scopellito-olsen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St Ste 111, Sanford, ME 04073 Phone: 207-490-7998 | |
Mr. Harendra N Patel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 June St, Sanford, ME 04073 Phone: 207-324-7126 Fax: 207-324-4308 | |
Shelly Ann Miller, Internal Medicine Medicare: Medicare Enrolled Practice Location: 25 June Street, Suite 111, Sanford, ME 04073 Phone: 207-490-7968 Fax: 207-490-7969 | |
Dr. Barbara P Mccall, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 June Street, Suite 111, Sanford, ME 04073 Phone: 207-324-5968 Fax: 207-490-1758 | |
Dr. Sara Jane Erickson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1474 Main St, Sanford, ME 04073 Phone: 207-608-8442 Fax: 207-608-8443 | |
Dr. Anuja Sharma, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25a June St, Suite 111, Sanford, ME 04073 Phone: 207-324-5968 Fax: 207-490-1758 |