| Dr Louis Israel Jacobs, DO | |
|
6255 Inkster Rd, Suite #206, Garden City, MI 48135-2577 | |
| (734) 421-0044 | |
| (734) 458-3364 |
| Full Name | Dr Louis Israel Jacobs |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 6255 Inkster Rd, Garden City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174522163 | NPI | - | NPPES |
| 1367083 | Medicaid | MI | |
| 5821167 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | LJ006797 (Michigan) | Primary |
| Entity Name | Prime Garden City Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598179954 PECOS PAC ID: 6901702133 Enrollment ID: O20031209000857 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Louis Israel Jacobs, DO 18181 Oakwood Blvd 403, Dearborn, MI 48124-3960 Ph: (313) 982-5290 | Dr Louis Israel Jacobs, DO 6255 Inkster Rd, Suite #206, Garden City, MI 48135-2577 Ph: (734) 421-0044 |
Dr. Timothy Andrew Gates, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-421-3300 | |
Ramiro Antonio Perez De La Torre, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 248-227-7807 Fax: 248-869-3982 |