Susan Jacoby, CNM is a
Advanced Practice Midwife based in Farmington, Maine. Susan Jacoby is licensed to practice in * (Not Available) (license number ) and her current practice location is
181 Franklin Health Commons, Farmington, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 778-6394.
NPI number for Susan Jacoby is 1154301133 and her current mailing address is 111 Franklin Health Commons, Farmington, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154301133.
Provider's Profile
| Full Name | Susan Jacoby |
|---|
| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 181 Franklin Health Commons, Farmington, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154301133
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 01/19/2012
Medical Identifiers
Medical identifiers for Susan Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154301133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 50674 (Maine) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (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. Susan Jacoby 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 |
|---|
Susan Jacoby, CNM
111 Franklin Health Commons,
Farmington, ME 04938-6144
Ph: (207) 778-6394 | Susan Jacoby, CNM
181 Franklin Health Commons,
Farmington, ME 04938-6144
Ph: (207) 778-6394 |
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