| Jacob George Eide, MD | |
|
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
| (800) 653-6568 | |
| Not Available |
| Full Name | Jacob George Eide |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 9 Years |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386008084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 4301507506 (Michigan) | Secondary |
| 207Y00000X | Otolaryngology | MD473590 (Pennsylvania) | Secondary |
| 207Y00000X | Otolaryngology | 76746 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Hospital Rochester | Rochester, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic | 6507778255 | 4507 |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob George Eide, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Jacob George Eide, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (800) 653-6568 |
Dr. Samba Siva Reddy Bathula, M.D Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201 Phone: 313-966-9471 Fax: 313-966-9470 | |
Dr. Kathleen L. Yaremchuk, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3275 Fax: 313-916-7263 | |
Dr. Lamont Jones, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Department Of Otolaryngology, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-3272 Fax: 313-916-7263 | |
Dr. Joshua Romero, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Robert Hadi Deeb, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-3275 | |
Nathan Gonik, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3901 Beaubien St, Suite 2102, Detroit, MI 48201 Phone: 313-966-6443 Fax: 313-745-0747 | |
Dr. Ilaaf Darrat, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-587-3523 |