| Richard R Jacobs, MD | |
|
2801 Clearwater Ct, Joplin, MO 64801-8239 | |
| (732) 233-0640 | |
| Not Available |
| Full Name | Richard R Jacobs |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 41 Years |
| Location | 2801 Clearwater Ct, Joplin, Missouri |
| 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 |
|---|---|---|---|
| 1447457171 | NPI | - | NPPES |
| 201014850 | Medicaid | IN | |
| 2SMA06320300 | Other | NJ | STATE LICENSE |
| 000000705885 | Other | IN | ANTHEM PROVIDER NUMBER |
| 0432464 | Other | KS | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 036117769 (Illinois) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | 01067878A (Indiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poplar Bluff Hma Physician Management, Llc | 5092769703 | 41 |
| Entity Name | Poplar Bluff Hma Physician Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598710147 PECOS PAC ID: 5092769703 Enrollment ID: O20050307000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard R Jacobs, MD 1865 Admiral Ct, Glenview, IL 60026-8055 Ph: (702) 582-7540 | Richard R Jacobs, MD 2801 Clearwater Ct, Joplin, MO 64801-8239 Ph: (732) 233-0640 |
Dr. John K Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1213 Fax: 417-347-6266 | |
Dr. Enock Elie Faustin, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-6611 Fax: 417-347-6662 | |
Ms. Jane Seto, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Yara Touma, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Mohammad Hammadur Rahman, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-6611 | |
Luciano De Lima Villarinho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5521 | |
Dr. Richard J Price, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 Fax: 760-520-8523 |