Dr Nirmala Rose Jacob, MD | |
3520 38th Ave N, St Petersburg, FL 33713-1448 | |
(727) 471-5039 | |
Not Available |
Full Name | Dr Nirmala Rose Jacob |
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Gender | Female |
Speciality | Internal Medicine |
Location | 3520 38th Ave N, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578631511 | NPI | - | NPPES |
277885800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | ME75726 (Florida) | Primary |
Entity Name | Optumcare Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053384214 PECOS PAC ID: 3072403476 Enrollment ID: O20040318001123 |
Entity Name | Guidewell Sanitas I, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
Mailing Address | Practice Location Address |
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Dr Nirmala Rose Jacob, MD 3251 N Mcmullen Booth Rd Ste 303, Clearwater, FL 33761-2022 Ph: (727) 725-6110 | Dr Nirmala Rose Jacob, MD 3520 38th Ave N, St Petersburg, FL 33713-1448 Ph: (727) 471-5039 |
Nandkishor Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite# 100, St Petersburg, FL 33710 Phone: 727-347-2780 Fax: 727-347-5508 | |
Francisco Jesus Rey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 Park St N Ste 7w, St Petersburg, FL 33709 Phone: 727-202-8140 Fax: 727-202-8252 | |
David A. Weiland Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 Fax: 727-893-6930 | |
Dr. Rakesh Mittal, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N, Suite N105, St Petersburg, FL 33709 Phone: 727-527-0797 Fax: 727-528-7703 | |
Dr. Lilian Enyonam Ahiable, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7111 1st Ave S, St Petersburg, FL 33707 Phone: 727-300-2282 Fax: 727-321-2680 | |
Dr. Alia Celeste Sommerville, D.O., MSC. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, Northside Hospital, St Petersburg, FL 33709 Phone: 727-521-5057 Fax: 727-521-5022 | |
Kayla Marie Worthington, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3520 38th Ave N, St Petersburg, FL 33713 Phone: 727-471-5039 Fax: 727-471-6446 |