| Lee Jacobs, MD | |
|
2600 Post Rd Ste L1, Southport, CT 06890-1258 | |
| (203) 254-3886 | |
| (203) 254-3872 |
| Full Name | Lee Jacobs |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2600 Post Rd Ste L1, Southport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801816053 | NPI | - | NPPES |
| 001411834 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 041183 (Connecticut) | Primary |
| Entity Name | Physicians For Women's Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826680 PECOS PAC ID: 3274430665 Enrollment ID: O20031215000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Jacobs, MD Southport Women's Healthcare, 2600 Post Road, Suite L1, Southport, CT 06890 Ph: (203) 254-3886 | Lee Jacobs, MD 2600 Post Rd Ste L1, Southport, CT 06890-1258 Ph: (203) 254-3886 |
Julie Lauren Laifer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2600 Post Rd, Suite 1l, Southport, CT 06890 Phone: 203-254-3886 Fax: 203-254-3472 | |
Judy L Boslow, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2600 Post Rd, Suite Suite 1l, Southport, CT 06890 Phone: 203-254-3886 Fax: 203-254-3872 | |
Barbara Sager, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2600 Post Rd, Suite 1l, Southport, CT 06890 Phone: 203-254-3886 Fax: 203-254-3872 |