| Dr Jacob James Sandoz, MD | |
|
210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | |
| (337) 332-2178 | |
| Not Available |
| Full Name | Dr Jacob James Sandoz |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 210 Champagne Blvd, Breaux Bridge, Louisiana |
| 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 |
|---|---|---|---|
| 1285130914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 327599 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | 327599 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abrom Kaplan Memorial Hospital | Kaplan, LA | Hospital |
| St Martin Hospital | Breaux bridge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Martin Emergency Group Llc | 0840444683 | 17 |
| Vermilion Emergency Group Llc | 8820148554 | 12 |
| Entity Name | Eunice Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104895689 PECOS PAC ID: 3476507849 Enrollment ID: O20050309000026 |
| Entity Name | Vermilion Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215161096 PECOS PAC ID: 8820148554 Enrollment ID: O20090618000010 |
| Entity Name | St Martin Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710231774 PECOS PAC ID: 0840444683 Enrollment ID: O20130204000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob James Sandoz, MD 302 Richland Ave Unit 106c, Lafayette, LA 70508-6797 Ph: (337) 247-1883 | Dr Jacob James Sandoz, MD 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 Ph: (337) 332-2178 |
Dr. Brandon Scott Ammon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2178 |