Judd Jacob, PT, CLS is a medicare enrolled "Technician, Pathology - Clinical Laboratory Director, Non-physician" provider in Yonkers, New York. His current practice location is
340 S Broadway, Yonkers, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 968-5125.
Judd Jacob is licensed to practice in New York (license number 014999) 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 1407152333.
Healthcare Provider's Profile
| Full Name | Judd Jacob |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 340 S Broadway, Yonkers, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Judd Jacob attended and graduated from in
NPI Data:
- NPI Number: 1407152333
- Provider Enumeration Date: 02/10/2011
- Last Update Date: 04/13/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Judd Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407152333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 032031 (New York) | Secondary |
| 247ZC0005X | Technician, Pathology - Clinical Laboratory Director, Non-physician | 014999 (New York) | Primary |
| 247ZC0005X | Technician, Pathology - Clinical Laboratory Director, Non-physician | 226448 (* (Not Available)) | Secondary |
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. Judd Jacob 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 |
|---|
Judd Jacob, PT, CLS
174 Grand St,
White Plains, NY 10601-4803
Ph: (914) 328-8077 | Judd Jacob, PT, CLS
340 S Broadway,
Yonkers, NY 10705-2049
Ph: (914) 968-5125 |
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