Jakob Kamilow, is a
Social Worker - Clinical based in Mountain Home Afb, Idaho. Jakob Kamilow is licensed to practice in Connecticut (license number 011367) and his current practice location is
90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 828-7297.
NPI number for Jakob Kamilow is 1922456979 and his current mailing address is 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922456979.
Healthcare Provider's Profile
| Full Name | Jakob Kamilow |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922456979
- Provider Enumeration Date: 06/01/2016
- Last Update Date: 03/07/2022
Medical Identifiers
Medical identifiers for Jakob Kamilow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922456979 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 011367 (Connecticut) | 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. Jakob Kamilow 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 |
|---|
Jakob Kamilow,
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7580 | Jakob Kamilow,
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7297 |
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