| Jacobs Family Medical Clinic | |
|
102 E Fourth St Dequincy LA 70633-3502 | |
| (337) 786-3030 | |
| (337) 786-5066 |
| Full Name | Jacobs Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 102 E Fourth St, Dequincy, Louisiana |
| Authorized Official Name and Position | Eric F Jacobs (PHYSICIAN) |
| Authorized Official Contact | 3377863030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacobs Family Medical Clinic 102 E Fourth St Po Box 1018 Dequincy LA 70633-3502 Ph: (337) 786-3030 | Jacobs Family Medical Clinic 102 E Fourth St Dequincy LA 70633-3502 Ph: (337) 786-3030 |
| NPI Number | 1740302322 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 10/19/2011 |
| Medicare PECOS PAC ID | 5890894828 |
|---|---|
| Medicare Enrollment ID | O20070615000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740302322 | NPI | - | NPPES |
| 1921718 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 08646R (Louisiana) | Primary |
| Provider Name | Eric F Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447379672 PECOS PAC ID: 2062511090 Enrollment ID: I20070802000189 |
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