| Andrew Jacobs, | |
|
5600 Sunrise Hwy, Sayville, NY 11782-1017 | |
| (631) 563-7828 | |
| (631) 563-7837 |
| Full Name | Andrew Jacobs |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 5600 Sunrise Hwy, Sayville, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538522487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 296966 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidalhealth Primary Care Llc | 7911320635 | 36 |
| Entity Name | Tidalhealth Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104453208 PECOS PAC ID: 7911320635 Enrollment ID: O20200714000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Jacobs, 1345 Rxr Plz Fl 13, Uniondale, NY 11556-1301 Ph: (516) 453-0435 | Andrew Jacobs, 5600 Sunrise Hwy, Sayville, NY 11782-1017 Ph: (631) 563-7828 |
Dr. Michael Jay Winter, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Railroad Ave Ste 4, Sayville, NY 11782 Phone: 631-218-0057 | |
Daria Blyskal, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 186 W Main St, Suite 10, Sayville, NY 11782 Phone: 631-573-6522 Fax: 631-760-8264 | |
Dr. Anthony Nicholas Donatelli Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 43 Broadway Ave, Sayville, NY 11782 Phone: 631-603-3770 Fax: 631-251-7020 | |
Dr. Cort Chedwin Kennedy Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 229 Railroad Ave Ste 3, Sayville, NY 11782 Phone: 631-909-6342 Fax: 631-909-6344 |