| Mark Jacobs, PA | |
|
1541 Florida Ave Ste 305, Modesto, CA 95350-4439 | |
| (209) 575-5833 | |
| (209) 575-5836 |
| Full Name | Mark Jacobs |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 1541 Florida Ave Ste 305, Modesto, California |
| 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 |
|---|---|---|---|
| 1346359866 | NPI | - | NPPES |
| 1017889 | Other | NCCPA | |
| PA12419 | Other | CA | STATE PA LICENSE |
| 9500618500 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-01583 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | PA.1502 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Jacobs, PA Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328 | Mark Jacobs, PA 1541 Florida Ave Ste 305, Modesto, CA 95350-4439 Ph: (209) 575-5833 |
Thaibinh Paul Lai-nguyen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Melina Lanzar, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Stacy Garrison, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-6102 | |
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687 | |
Penny Goumenidis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Ingrid Stephanie Medina, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 818-503-1233 | |
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779 |