| Dr Richard A Jacobson Jr, MD | |
|
2 Tampa General Cir, Tampa, FL 33606-3571 | |
| (813) 844-7585 | |
| Not Available |
| Full Name | Dr Richard A Jacobson Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2 Tampa General Cir, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144601667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 125067326 (Illinois) | Primary |
| Entity Name | Tampa General Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043557853 PECOS PAC ID: 7416253828 Enrollment ID: O20160310002525 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard A Jacobson Jr, MD 2 Tampa General Cir, Tampa, FL 33606-3571 Ph: (813) 844-7585 | Dr Richard A Jacobson Jr, MD 2 Tampa General Cir, Tampa, FL 33606-3571 Ph: (813) 844-7585 |
Dr. Michael Martin Wach, MD Surgery Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2916 | |
Mr. Camilo Andres Trujillo, SURGICAL ASSISTANT Surgery Medicare: Not Enrolled in Medicare Practice Location: 7171 N Dale Mabry Hwy, Tampa, FL 33614 Phone: 813-932-2222 | |
Thomas J Herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7968 | |
Marco Antonio Rajo Andrade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6919 N Dale Mabry Hwy Ste 200, Tampa, FL 33614 Phone: 813-933-3324 Fax: 813-932-4357 | |
Brad L Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 | |
Dr. Karl Armistead Illig, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606 | |
Gavin R Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 |