| Jerome Nicholas Jew | |
|
919 Clay St San Francisco CA 94108-1520 | |
| (415) 982-4011 | |
| (415) 982-6291 |
| Full Name | Jerome Nicholas Jew |
|---|---|
| Speciality | General Practice |
| Location | 919 Clay St, San Francisco, California |
| Authorized Official Name and Position | Valerie Ho-jew (OFFICE MANAGER) |
| Authorized Official Contact | 4159824011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Nicholas Jew 919 Clay St San Francisco CA 94108-1520 Ph: (415) 982-4011 | Jerome Nicholas Jew 919 Clay St San Francisco CA 94108-1520 Ph: (415) 982-4011 |
| NPI Number | 1336806439 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Medicare PECOS PAC ID | 3870986227 |
|---|---|
| Medicare Enrollment ID | O20220207001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336806439 | NPI | - | NPPES |
| 101312369401 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jerome N Jew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235143702 PECOS PAC ID: 7719179001 Enrollment ID: I20101005001287 |
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