| Timothy Douglas Jacob, MD | |
|
8199 Mcknight Rd Ste 102, Pittsburgh, PA 15237-5749 | |
| (412) 364-5490 | |
| (412) 364-5493 |
| Full Name | Timothy Douglas Jacob |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 8199 Mcknight Rd Ste 102, Pittsburgh, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679500813 | NPI | - | NPPES |
| 0014797690006 | Medicaid | PA | |
| F80821 | Other | HEALTH AMERICA | |
| 770837 | Other | PA | BLUE CROSS |
| 102805 | Other | UPMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD042446L (Pennsylvania) | Primary |
| Entity Name | Fort Pitt Surgical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154387942 PECOS PAC ID: 8527007723 Enrollment ID: O20050427000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Douglas Jacob, MD 8199 Mcknight Rd Ste 102, Pittsburgh, PA 15237-5749 Ph: (412) 364-5490 | Timothy Douglas Jacob, MD 8199 Mcknight Rd Ste 102, Pittsburgh, PA 15237-5749 Ph: (412) 364-5490 |
Dr. Jose Manuel Prince, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 6340 Morrowfield Ave, Pittsburgh, PA 15217 Phone: 412-421-3377 | |
Mr. Vei Shaun Siow, Surgery Medicare: Accepting Medicare Assignments Practice Location: 5140 Liberty Ave Ste 200, Pittsburgh, PA 15224 Phone: 412-359-6137 Fax: 412-688-7799 | |
Mr. Derek Ray Serna-gallegos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5200 Centre Ave Ste 715, Pittsburgh, PA 15232 Phone: 299-441-2623 | |
Othman Mohamed-asem Abdul-malak, Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Lothrop St, F600 Presbyterian Hospital, Pittsburgh, PA 15213 Phone: 412-647-2345 | |
Allan S Philp Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 E North Ave Fl 3, Pittsburgh, PA 15212 Phone: 412-359-3115 Fax: 412-359-3165 | |
Dr. Jeffrey Allen Perri, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1050 Bower Hill Rd, Suite 302, Pittsburgh, PA 15243 Phone: 412-942-5660 Fax: 412-942-5687 | |
Bart A. Chess, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 320 E North Ave, Pittsburgh, PA 15212 Phone: 412-359-8820 Fax: 412-359-8222 |