Dr. Lara M Jacobson
M.D. | Pediatric Emergency Medicine | Female
Dr. Lara M Jacobson, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Lara M Jacobson is
160 E Erie Ave, Philadelphia, Pennsylvania - 19134-1011. She can be contacted on phone at
215-427-5369 and fax number 215-427-4668.
Dr. Lara M Jacobson is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lara M Jacobson is
1477602415 which was assigned by NPPES on 09 Jan, 2007 and it was last updated on 19 Oct, 2018.
Dr. Lara M Jacobson license number is
MD465536 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Pennsylvania.
Dr. Lara M Jacobson has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Lara M Jacobson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
|---|
| Provider Name : | Dr. Lara M Jacobson |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Lara M Jacobson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 160 E Erie Ave
Philadelphia, PA, 19134-1011
United States |
|---|
| Phone Number : | 215-427-5369 |
|---|
| Fax Number : | 215-427-4668 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477602415 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 09 Jan, 2007 |
|---|
| Last Updated On : | 19 Oct, 2018 |
|---|
Medicare Participation:
Dr. Lara M Jacobson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2264588029 |
|---|
| Medicare Enrollment ID : | I20191226000054 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Stanford University School Of Medicine |
|---|
| Graduation Year : | 2006 |
|---|
| Accepts Medicare? | Yes. Dr. Lara M Jacobson accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Lara M Jacobson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Lara M Jacobson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Central Georgia Emergency Group Llc | 5991004608 | 9 | 777 Hemlock St
Macon, GA - 312012102
Ph: 4786331000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lara M Jacobson are as mentioned. Primary taxonomy code for Dr. Lara M Jacobson, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD465536 | PA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1101 Saint Paul St, Apt 1811
Baltimore, MD, 21202-2619
United States |
|---|
| Phone Number : | 410-283-4086 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Lara M Jacobson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.