| Jacob Lang, PA-C | |
|
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
| (352) 559-5051 | |
| Not Available |
| Full Name | Jacob Lang |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 600 E Dixie Ave, Leesburg, Florida |
| 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 |
|---|---|---|---|
| 1710515952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9121984 (Florida) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 4561 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Health Services Of Self Regional Healthcare | Greenwood, SC | Home health agency |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Self Medical Group | 6002953916 | 393 |
| Lexington Health Inc | 2567872070 | 905 |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Lang, PA-C 257 Mcdowell St, Asheville, NC 28803-2606 Ph: (828) 258-1121 | Jacob Lang, PA-C 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 559-5051 |
Nancy Reevs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-559-5051 |
Jennifer Koeller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Doctors Ct, Leesburg, FL 34748 Phone: 352-787-9838 Fax: 352-787-8705 |
Dr. Robert Bernard, MD Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 516-444-1494 Fax: 352-323-5529 |
Mrs. Noreen M Godfrey, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 608 S 9th St Ste C, Leesburg, FL 34748 Phone: 813-321-1786 Fax: 813-321-1787 |
Jada Ryan Carpenter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 353-323-5762 |
Guerda Etienne, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 312 S Lake St, Leesburg, FL 34748 Phone: 352-314-9300 Fax: 352-314-9212 |
Miss Martha Ann Olson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Plaza Dr, Leesburg, FL 34748 Phone: 352-326-8115 Fax: 352-326-5282 |