Mr Samuel Jacobs, LPN is a
Licensed Practical Nurse based in Burtonsville, Maryland. Mr Samuel Jacobs is licensed to practice in District Of Columbia (license number LPN1005338) and his current practice location is
4348 Leatherwood Ter, Burtonsville, Maryland. He can be reached at his office (for appointments etc.) via phone at
(240) 418-5609.
NPI number for Mr Samuel Jacobs is 1164782389 and his current mailing address is 4348 Leatherwood Ter, Burtonsville, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164782389.
Provider's Profile
Full Name | Mr Samuel Jacobs |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 4348 Leatherwood Ter, Burtonsville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164782389
- Provider Enumeration Date: 05/22/2012
- Last Update Date: 05/22/2012
Medical Identifiers
Medical identifiers for Mr Samuel Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164782389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LPN1005338 (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. Mr Samuel Jacobs 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 |
Mr Samuel Jacobs, LPN 4348 Leatherwood Ter, Burtonsville, MD 20866-1329 Ph: (240) 418-5609 | Mr Samuel Jacobs, LPN 4348 Leatherwood Ter, Burtonsville, MD 20866-1329 Ph: (240) 418-5609 |
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