Mark Jacobs, PA in Modesto, CA

Mark Jacobs, PA is a medicare enrolled "Physician Assistant" in Modesto, California. His current practice location is 1541 Florida Ave Ste 305, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 575-5833.

Mark Jacobs is licensed to practice in Alabama (license number PA.1502) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346359866.

Contact Information

	Mark Jacobs, PA
	1541 Florida Ave Ste 305, Modesto, CA 95350-4439
	(209) 575-5833
	(209) 575-5836

Map and Direction

Provider's Profile

Full Name	Mark Jacobs
Gender	Male
Speciality
Experience	Years
Location	1541 Florida Ave Ste 305, Modesto, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Jacobs attended and graduated from in

NPI Data:

NPI Number: 1346359866
Provider Enumeration Date: 08/29/2006
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mark Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346359866	NPI	-	NPPES
1017889	Other		NCCPA
PA12419	Other	CA	STATE PA LICENSE
9500618500	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	15-01583 (Kansas)	Secondary
363A00000X	Physician Assistant	PA.1502 (Alabama)	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. Mark Jacobs 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
Mark Jacobs, PA Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328	Mark Jacobs, PA 1541 Florida Ave Ste 305, Modesto, CA 95350-4439 Ph: (209) 575-5833

Reviews and Comments

Physician Assistant Nurses in Modesto, CA

Thaibinh Paul Lai-nguyen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211
Melina Lanzar, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687
Penny Goumenidis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211
Ingrid Stephanie Medina, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 818-503-1233
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779
Shannon Michelle Gillespie, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Avenue, Modesto, CA 95350 Phone: 209-576-3609

Mark Jacobs, PA - Medicare in Modesto, CA