| Jacob Thomas, MD | |
|
2600 Ferry St, Lafayette, IN 47904-3055 | |
| (765) 448-8000 | |
| (765) 838-4698 |
| Full Name | Jacob Thomas |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 2600 Ferry St, Lafayette, Indiana |
| 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 |
|---|---|---|---|
| 1891957981 | NPI | - | NPPES |
| 000000781555 | Other | IN | ANTHEM PROVIDER NUMBER FOR TIN 35-2030653 |
| 201083560 | Medicaid | IN | |
| 036128570 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-128570 (Illinois) | Primary |
| 208M00000X | Hospitalist | 01071565A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Hca-healthone Dba Swedish Medical Center | Englewood, CO | Hospital |
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Macoupin Physician Services, Pc | 7416345947 | 10 |
| Apogee Medical Group Indiana Pc | 8729155742 | 68 |
| Cole Physician Services Llc | 0648420810 | 25 |
| Colorado Hospitalist Services, Pllc | 4486957578 | 59 |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1053425124 PECOS PAC ID: 9032021373 Enrollment ID: O20080422000666 |
| Entity Name | Macoupin Physician Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013686302 PECOS PAC ID: 7416345947 Enrollment ID: O20211102001556 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Thomas, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Jacob Thomas, MD 2600 Ferry St, Lafayette, IN 47904-3055 Ph: (765) 448-8000 |
Michelle B Herberts, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8564 | |
Jahan Ali Khajeh, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 | |
Dr. Carlos Salazar Carcamo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-583-2444 | |
Maria L Srour, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7631 | |
Steven Rudolf Steinhubl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4333 | |
Michael Leo Hogan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 Fax: 765-775-2831 | |
Carlos A Gambirazio, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7624 |