John Jacob, is a
Social Worker - Clinical based in Manchester, Connecticut. John Jacob is licensed to practice in * (Not Available) (license number ) and his current practice location is
444 Center St, Manchester, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 646-3888.
NPI number for John Jacob is 1245616549 and his current mailing address is 995 Day Hill Rd, Windsor, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245616549.
Healthcare Provider's Profile
| Full Name | John Jacob |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 444 Center St, Manchester, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245616549
- Provider Enumeration Date: 08/10/2015
- Last Update Date: 01/17/2019
Medical Identifiers
Medical identifiers for John Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245616549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (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. John Jacob 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 |
|---|
John Jacob,
995 Day Hill Rd,
Windsor, CT 06095-1722
Ph: (860) 731-5522 | John Jacob,
444 Center St,
Manchester, CT 06040-3926
Ph: (860) 646-3888 |
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