Jacob Russell Suba, in San Bernardino, CA - Medicare Physician Assistant

Jacob Russell Suba, is a medicare enrolled "Physician Assistant" in San Bernardino, California. His current practice location is 401 E Highland Ave Ste 351, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 475-8611.

Jacob Russell Suba is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407632532.

Contact Information

	Jacob Russell Suba,
	401 E Highland Ave Ste 351, San Bernardino, CA 92404-3830
	(909) 475-8611
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Russell Suba
Gender	Male
Speciality	Physician Assistant
Location	401 E Highland Ave Ste 351, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407632532
Provider Enumeration Date: 09/05/2023
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5698128460
Enrollment ID: I20240129000574

Medical Identifiers

Medical identifiers for Jacob Russell Suba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407632532	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 Russell Suba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Russell Suba, Po Box 9086, Redlands, CA 92375-2286 Ph: () -	Jacob Russell Suba, 401 E Highland Ave Ste 351, San Bernardino, CA 92404-3830 Ph: (909) 475-8611

Reviews and Comments

Physician Assistant Nurses in San Bernardino, CA

Nicholas Walther, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8711
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Daniel E Kim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 284 E Highland Ave, San Bernardino, CA 92404 Phone: 909-883-1098 Fax: 909-883-0653
Ms. Tanisha G Williams, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1805 Medical Center Dr, San Bernardino, CA 92411 Phone: 909-887-6333 Fax: 909-887-1985
Miss Sara Natour, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2334 N Sierra Way, San Bernardino, CA 92405 Phone: 909-747-2715
Ms. Keturah Braithwaite, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 941 Kendall Dr Ste C, San Bernardino, CA 92407 Phone: 302-354-7476
Mr. Richard Tang, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1364 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-474-9952

Jacob Russell Suba, - Medicare Physician Assistant in San Bernardino, CA