| Erik Jacobsen, MD | |
|
2600 Saint Michael Dr, Texarkana, TX 75503-2372 | |
| (903) 614-1000 | |
| Not Available |
| Full Name | Erik Jacobsen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2600 Saint Michael Dr, Texarkana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376588210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M0117 (Texas) | Primary |
| Entity Name | Supracare Family Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801234596 PECOS PAC ID: 4486880283 Enrollment ID: O20131127001064 |
| Mailing Address | Practice Location Address |
|---|---|
| Erik Jacobsen, MD Po Box 2018, Austin, TX 78768-2018 Ph: (512) 305-7010 | Erik Jacobsen, MD 2600 Saint Michael Dr, Texarkana, TX 75503-2372 Ph: (903) 614-1000 |
Wilmer Lynn Reep, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2931 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-3200 Fax: 903-614-3525 | |
Jack Menges Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Monica E. Townsend, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Scott W Wyrick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Potomac Ave, Texarkana, TX 75503 Phone: 903-792-3787 Fax: 903-792-0446 | |
Dr. Blane A Graves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1408 College Dr, Texarkana, TX 75503 Phone: 903-794-0515 Fax: 903-793-8000 | |
Andrew Ellis Legrand, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4105 N Kings Hwy, Texarkana, TX 75503 Phone: 903-838-0444 Fax: 903-334-7618 | |
Mr. Jeffory Ford Thomas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 |