Daryl Jacob, CAA is a
Anesthesiology based in Washington, District Of Columbia. Daryl Jacob is licensed to practice in District Of Columbia (license number AA000080) and his current practice location is
111 Michigan Ave Nw, Washington, District Of Columbia. He can be reached at his office (for appointments etc.) via phone at
(888) 884-2327.
NPI number for Daryl Jacob is 1942686316 and his current mailing address is 1968 Peachtree Rd Nw, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942686316.
Provider's Profile
| Full Name | Daryl Jacob |
|---|
| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 111 Michigan Ave Nw, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942686316
- Provider Enumeration Date: 08/07/2015
- Last Update Date: 02/06/2020
Medical Identifiers
Medical identifiers for Daryl Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942686316 | NPI | - | NPPES |
| AA000080 | Other | DC | NCCAA CERTIFICATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367H00000X | Anesthesiologist Assistant | 7680 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | AA000080 (District Of Columbia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daryl Jacob is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Daryl Jacob, CAA
1968 Peachtree Rd Nw,
Atlanta, GA 30309-1281
Ph: () - | Daryl Jacob, CAA
111 Michigan Ave Nw,
Washington, DC 20010-2916
Ph: (888) 884-2327 |
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