| Zachary Colin Jacobs, DO | |
|
492 Montauk Hwy, East Moriches, NY 11940-1347 | |
| (631) 638-2900 | |
| (631) 878-8083 |
| Full Name | Zachary Colin Jacobs |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 16 Years |
| Location | 492 Montauk Hwy, East Moriches, New York |
| 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 |
|---|---|---|---|
| 1215179973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 279031 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stony Brook Children's Service, University Faculty Practice Corporatio | 8921993551 | 25 |
| Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Colin Jacobs, DO Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650 | Zachary Colin Jacobs, DO 492 Montauk Hwy, East Moriches, NY 11940-1347 Ph: (631) 638-2900 |
Dr. Megan Kasnicki, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 492 Montauk Hwy, East Moriches, NY 11940 Phone: 631-638-2900 | |
Dr. Eileen Kelly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 492 Montauk Hwy, East Moriches, NY 11940 Phone: 631-878-8050 | |
Dr. Jennifer Lynn Klingenberger-beyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 492 Montauk Hwy, East Moriches, NY 11940 Phone: 631-638-2901 | |
Dr. Steven John Pesce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 492 Montauk Hwy, East Moriches, NY 11940 Phone: 631-638-2900 Fax: 631-878-8083 |