| Gary Jacobs, | |
|
4300 Sw 13th St, Gainesville, FL 32608-4006 | |
| (352) 374-5600 | |
| Not Available |
| Full Name | Gary Jacobs |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4300 Sw 13th St, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649404104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11116 (Florida) | Primary |
| Entity Name | Quality Bhs Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689297541 PECOS PAC ID: 4082030721 Enrollment ID: O20200812002561 |
| Entity Name | Rhodium Care Group Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174235972 PECOS PAC ID: 5799130142 Enrollment ID: O20231005000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Jacobs, 4300 Sw 13th St, Gainesville, FL 32608-4006 Ph: (352) 374-5600 | Gary Jacobs, 4300 Sw 13th St, Gainesville, FL 32608-4006 Ph: (352) 374-5600 |
Roger Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Joseph Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kelly Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Shannon Moser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608 | |
Erica S Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th Street, Gainesville, FL 32608 Phone: 352-374-5600 | |
Kyeesha Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5600 | |
Crystal Biggers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 |