| J Monique Jacques, MD | |
|
630 E River St, 4th Floor Pathology Dept, Elyria, OH 44035-5902 | |
| (440) 329-7656 | |
| Not Available |
| Full Name | J Monique Jacques |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 36 Years |
| Location | 630 E River St, Elyria, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740239888 | NPI | - | NPPES |
| 0239889 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35068944 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Lorain, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Pathology Associates, Inc. | 4082500194 | 3 |
| Entity Name | Regional Pathology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326096181 PECOS PAC ID: 4082500194 Enrollment ID: O20040225000897 |
| Mailing Address | Practice Location Address |
|---|---|
| J Monique Jacques, MD 630 E River St, 4th Floor Pathology Dept, Elyria, OH 44035-5902 Ph: (440) 329-7656 | J Monique Jacques, MD 630 E River St, 4th Floor Pathology Dept, Elyria, OH 44035-5902 Ph: (440) 329-7656 |
Dr. Wafa Mw Al-dhahir, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 800-475-6236 | |
Minal Patel, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7656 | |
Dr. Priscilla Waldheger, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7656 | |
Dr. Rosa A Donastorg, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, 4th Floor Path Dept, Elyria, OH 44035 Phone: 440-329-7656 | |
Dr. Shashi B Jain, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 630 E River St, 4th Floor Path Dept, Elyria, OH 44035 Phone: 440-329-7656 | |
Dr. Paul Grabenstetter, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, 4th Floor Pathology Dept, Elyria, OH 44035 Phone: 440-329-7656 |