| Dr Brent Jacobus Ii, MD | |
| 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 257-0837 | |
| Not Available | 
| Full Name | Dr Brent Jacobus Ii | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Sleep Medicine | 
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447757406 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 01083389A (Indiana) | Primary | 
| Entity Name | Jacobus Family Enterprises Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861274979 PECOS PAC ID: 1052750379 Enrollment ID: O20240419001389 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Brent Jacobus Ii, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: () - | Dr Brent Jacobus Ii, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-0837 | 
| Dr. Caelan Mary Johnson Ford, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 88mdg/sghj, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-7218 Fax: 937-257-0417 | |
| Dr. Jeffrey William Weiser, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright-patterson Medical Center, Wright Patterson Afb, OH 45433 Phone: 937-257-6877 | |
| Dr. Rian Michael Laub, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, 88mdg/sgne, Wright Patterson Afb, OH 45433 Phone: 617-448-2383 | |
| Kathryn Myers, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-6877 | |
| Dr. Henrik Close Iv, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 | |
| Dr. Mark Edward Hubner, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, 88mdg/sgohe, Wright Patterson Afb, OH 45433 Phone: 937-257-1942 |