| Evan Michael Jacoby, MD | |
|
245 Fountain Ct, Lexington, KY 40509-1888 | |
| (859) 323-6861 | |
| (859) 323-1194 |
| Full Name | Evan Michael Jacoby |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 245 Fountain Ct, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497250062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | R4747 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R4747 (Kentucky) | Primary |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Michael Jacoby, MD 245 Fountain Ct, Lexington, KY 40509-1888 Ph: (859) 323-6021 | Evan Michael Jacoby, MD 245 Fountain Ct, Lexington, KY 40509-1888 Ph: (859) 323-6861 |
Dr. David Neil Toupin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2195 Harrodsburg Rd Fl 2, Lexington, KY 40504 Phone: 859-562-1868 Fax: 859-257-0421 | |
Dr. Daniella Prashanti Gavito, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 245 Fountain Ct # 225, Lexington, KY 40509 Phone: 859-323-6021 | |
Ciara G. Smith, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 245 Fountain Ct, Lexington, KY 40509 Phone: 859-323-6861 Fax: 859-323-1194 | |
Sarah Stevens, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 245 Fountain Ct Ste 215, Lexington, KY 40509 Phone: 859-323-6861 | |
Daniel David Nahum, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3470 Blazer Pkwy, Lexington, KY 40509 Phone: 859-323-6021 | |
Dr. Scott Littleton, M.D, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: University Health Service, 830 South Limestone Street, Lexington, KY 40536 Phone: 859-323-5511 Fax: 859-257-9816 | |
Charles I Shelton Jr., D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1350 Bull Lea Rd, Lexington, KY 40511 Phone: 859-246-8000 Fax: 859-246-8043 |