Dana Jacobs, CNM | |
4671 S Congress Ave Ste 100b, Palm Springs, FL 33461-4783 | |
(561) 434-0111 | |
Not Available |
Full Name | Dana Jacobs |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4671 S Congress Ave Ste 100b, Palm Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831204452 | NPI | - | NPPES |
340344100 | Medicaid | FL | |
LO389 | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | ARNP3133732 (Florida) | Secondary |
367A00000X | Advanced Practice Midwife | ARNP3133732 (Florida) | Primary |
Entity Name | Womens Care Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
Entity Name | Florida Woman Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386823243 PECOS PAC ID: 5395807218 Enrollment ID: O20081230000509 |
Entity Name | Womens' Health Hospitalists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354 |
Mailing Address | Practice Location Address |
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Dana Jacobs, CNM Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033 | Dana Jacobs, CNM 4671 S Congress Ave Ste 100b, Palm Springs, FL 33461-4783 Ph: (561) 434-0111 |
Dr. Georgia Page Hallett, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 4671 S Congress Ave Ste 100b, Palm Springs, FL 33461 Phone: 561-434-0111 Fax: 561-721-0943 |