| Dr Michael Duane Jacobson, DO MPH | |
|
2261 Philadelphia Dr, Dayton, OH 45406-1814 | |
| (937) 734-6700 | |
| Not Available |
| Full Name | Dr Michael Duane Jacobson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Addiction Medicine |
| Location | 2261 Philadelphia Dr, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639390651 | NPI | - | NPPES |
| 0249609 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 34. 005720 (Ohio) | Primary |
| Entity Name | Wright State Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114920329 PECOS PAC ID: 7618889320 Enrollment ID: O20031103000097 |
| Entity Name | Five Rivers Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Duane Jacobson, DO MPH 4222 Tylersville Rd, West Chester, OH 45011-8634 Ph: (513) 860-1099 | Dr Michael Duane Jacobson, DO MPH 2261 Philadelphia Dr, Dayton, OH 45406-1814 Ph: (937) 734-6700 |
Dr. Derek Williamson Sherk, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3077 Kettering Blvd, Suite Number 319, Dayton, OH 45439 Phone: 937-293-2133 | |
Dr. Barbara A Bennett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Troy Pike Ste 50, Dayton, OH 45424 Phone: 937-233-4252 Fax: 937-233-7605 | |
Jeffrey R Millard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-208-8388 | |
Dr. Teresa Zryd, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Dayton, OH 45435 Phone: 937-245-7200 Fax: 937-245-7922 | |
Dr. Roger N Rizzardi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Woodman Dr, Dayton, OH 45432 Phone: 937-252-2000 | |
Dr. Robert Randall Schaffer, M.D., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 Fax: 513-423-3309 | |
Theresa Kern, MS,RN, AGCNS-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 Fax: 937-258-5478 |