Samuel Jacob, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Muncie, Indiana. Samuel Jacob is licensed to practice in Indiana (license number 01079242A) and his current practice location is 2525 W University Ave Ste 300, Muncie, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 747-3883.
NPI number for Samuel Jacob is 1992931414 and his current mailing address is 250 N Shadeland Ave, Indianapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992931414.
Physician's Profile
| Full Name | Samuel Jacob |
|---|
| Gender | Male |
|---|
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|
| Location | 2525 W University Ave Ste 300, Muncie, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992931414
- Provider Enumeration Date: 06/10/2009
- Last Update Date: 11/15/2023
Medical Identifiers
Medical identifiers for Samuel Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992931414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME131137 (Florida) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01079242A (Indiana) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2018005840 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Jacob is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Samuel Jacob, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: Not Available | Samuel Jacob, MD 2525 W University Ave Ste 300, Muncie, IN 47303-3432 Ph: (765) 747-3883 |
Reviews and Comments