Jacob Mark Ebner, is a
Physician Assistant based in Pittsgrove, New Jersey. Jacob Mark Ebner is licensed to practice in * (Not Available) (license number ) and his current practice location is
107 Cedar Rd, Pittsgrove, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 275-5492.
NPI number for Jacob Mark Ebner is 1316627813 and his current mailing address is 107 Cedar Rd, Pittsgrove, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316627813.
Provider's Profile
| Full Name | Jacob Mark Ebner |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 107 Cedar Rd, Pittsgrove, New Jersey |
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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: 1316627813
- Provider Enumeration Date: 07/19/2023
- Last Update Date: 07/19/2023
Medical Identifiers
Medical identifiers for Jacob Mark Ebner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316627813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Jacob Mark Ebner 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 |
|---|
Jacob Mark Ebner,
107 Cedar Rd,
Pittsgrove, NJ 08318-3830
Ph: (856) 275-5492 | Jacob Mark Ebner,
107 Cedar Rd,
Pittsgrove, NJ 08318-3830
Ph: (856) 275-5492 |
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