| Dr Robert Leonard Jacques, MD | |
|
400 9th St, Florence, OR 97439-7398 | |
| (541) 997-8412 | |
| (541) 902-1320 |
| Full Name | Dr Robert Leonard Jacques |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 400 9th St, Florence, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508918848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD19329 (Oregon) | Primary |
| Entity Name | Lower Umpqua Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003874819 PECOS PAC ID: 6800703562 Enrollment ID: O20040212000228 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Leonard Jacques, MD 5419 S.w. Scholls Fery Road, Portland, OR 97225 Ph: (503) 241-8055 | Dr Robert Leonard Jacques, MD 400 9th St, Florence, OR 97439-7398 Ph: (541) 997-8412 |
Dr. John W Egar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 380 9th Street, Florence, OR 97439 Phone: 541-997-7134 Fax: 541-902-1642 | |
Dr. Christy A Horton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 9th St, Florence, OR 97439 Phone: 541-997-8412 Fax: 541-902-7502 | |
Dr. Mohamad A Sabbah, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 9th St, Florence, OR 97439 Phone: 541-902-6131 Fax: 541-902-7502 | |
Dr. Marilyn A Datzman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 9th St, Florence, OR 97439 Phone: 541-997-8412 Fax: 541-997-9650 | |
Fadi I Jabr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 9th St, Florence, OR 97439 Phone: 541-902-6140 Fax: 541-902-7533 | |
Ronald Noble Shearer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 380 9th St, Florence, OR 97439 Phone: 541-997-7134 Fax: 541-902-1320 |