| Stuart I Jacobs, MD | |
|
5345 N El Dorado St, Ste 12, Stockton, CA 95207-5872 | |
| (209) 957-6662 | |
| (209) 957-0310 |
| Full Name | Stuart I Jacobs |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 5345 N El Dorado St, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073574539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 00G30790 (California) | Primary |
| Entity Name | Stuart I Jacobs M D A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578961843 PECOS PAC ID: 5395062566 Enrollment ID: O20150327000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart I Jacobs, MD 5345 N El Dorado St, Ste 12, Stockton, CA 95207-5872 Ph: (209) 957-6662 | Stuart I Jacobs, MD 5345 N El Dorado St, Ste 12, Stockton, CA 95207-5872 Ph: (209) 957-6662 |
Moses Elam, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Dr. Christy Behnam, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2505 W Hammer Ln, Stockton, CA 95209 Phone: 209-955-3000 Fax: 209-954-4024 | |
Karen B. Bissell, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Elizabeth M. Kass, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Gerald N Bock, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 St Marks Plaza, C, Stockton, CA 95207 Phone: 209-956-4260 Fax: 209-475-6002 | |
Walter Stanley Yourchek, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4553 Quail Lakes Dr, Stockton, CA 95207 Phone: 209-951-1133 Fax: 209-951-4708 |