| Mrs Samantha Marie Jacobs, MSPT | |
|
100 Pleasant Hill Ave N, Sebastopol, CA 95472-3104 | |
| (707) 829-3282 | |
| (707) 829-3287 |
| Full Name | Mrs Samantha Marie Jacobs |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 25 Years |
| Location | 100 Pleasant Hill Ave N, Sebastopol, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306988712 | NPI | - | NPPES |
| ZZZ076098 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT28295 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peltz And Associates Physical Therapy Inc | 6002819075 | 12 |
| Provider Name | Peltz And Associates Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356389001 PECOS PAC ID: 6002819075 Enrollment ID: O20060811000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Samantha Marie Jacobs, MSPT 100 Pleasant Hill Ave N, Sebastopol, CA 95472-3104 Ph: (707) 829-3282 | Mrs Samantha Marie Jacobs, MSPT 100 Pleasant Hill Ave N, Sebastopol, CA 95472-3104 Ph: (707) 829-3282 |
Paula Tanksley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Petaluma Ave, Ste 2-g, Sebastopol, CA 95472 Phone: 707-888-5093 Fax: 707-222-6572 | |
Teresa L Burk, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 | |
Kathy Mcconnell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287 | |
Elyse Detweiler Mccluskey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287 | |
Patricia Donovan Martinez, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287 | |
Olivia Kathleen Barry, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8074 Yule Tree Ln, Sebastopol, CA 95472 Phone: 310-968-6809 |