| Dr Gary Philip Jacobson, DO | |
|
24 North Westfield Street, Feeding Hills, MA 01030-1606 | |
| (413) 831-7831 | |
| (413) 831-7832 |
| Full Name | Dr Gary Philip Jacobson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 24 North Westfield Street, Feeding Hills, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306812995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 73573 (Massachusetts) | Primary |
| Entity Name | Baystate Medical Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Philip Jacobson, DO 280 Chestnut Street, 2nd Fl, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Dr Gary Philip Jacobson, DO 24 North Westfield Street, Feeding Hills, MA 01030-1606 Ph: (413) 831-7831 |
Shyamal Mansukhlal Madhavani, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 N Westfield St, Feeding Hills, MA 01030 Phone: 413-831-7831 Fax: 413-831-7832 | |
Dr. Ira M Nathanson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24 N Westfield St, Feeding Hills, MA 01030 Phone: 413-831-7831 Fax: 413-831-7832 | |
Dr. Jeanne Diane Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 North Westfield Street, Feeding Hills, MA 01030 Phone: 413-831-7831 Fax: 413-831-7832 |