Paul Jacobs (NPI# 1255326500, PAC ID# 2062525884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1255326500 |
| PAC ID by PECOS | 2062525884 |
| Professional Enrollment ID | I20110214000926 |
| Full Name | Paul Jacobs |
| Organization Legal Name | PAUL C JACOBS TREVOR CRABTREE PTR |
| Address |
1001 Beadle Dr Suite 40 Carbondale IL 62901-1150 |
| Phone Number | 6185294817 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1979 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6608995865 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 316 S Main St, Anna, IL 62906-1242 | 6188833777 | PAUL C JACOBS TREVOR CRABTREE PTR |
| 1001 Beadle Dr, Suite 40, Carbondale, IL 62901-1150 | 6185294817 | PAUL C JACOBS TREVOR CRABTREE PTR |
| 1508 N Sioux Dr, Marion, IL 62959-5209 | 6189938787 | PAUL C JACOBS TREVOR CRABTREE PTR |
| Organization Legal Name | PAUL C JACOBS TREVOR CRABTREE PTR |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Crabtree | Optometry | Paul C Jacobs Trevor Crabtree Ptr | 223 N Park Ave, Herrin, IL 62948-3149 |
| Celisha Merriman | Optometry | Paul C Jacobs Trevor Crabtree Ptr | 1001 Beadle Dr, Suite 40, Carbondale, IL 62901-1150 |
| Street Address |
1001 BEADLE DR SUITE 40 |
| City | CARBONDALE |
| State | IL |
| Zip | 62901-1150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celisha Merriman | Optometry | Paul C Jacobs Trevor Crabtree Ptr | 1001 Beadle Dr, Suite 40, Carbondale, IL 62901-1150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Nichole Dinga | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Carlos Mario Rivera Serrano | Plastic and Reconstructive Surgery | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Kelli Nicole Webb | Plastic and Reconstructive Surgery | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Fakhre Alam | Neurology | 2731 W Main St, Suite A, Carbondale, IL 62901-1028 | |
| Muhammad J Popalzai | Hematology/oncology | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Melissa Andrea Martinez Mateo | Gastroenterology | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Lukas John Ward | Physician Assistant | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Emily D Hanson | Family Medicine | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Phillip A Dewey | Physician Assistant | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Jessie Nicole Fox | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Find all physicians in zip 62901 | |||
| City | CARBONDALE |
| Zip Code | 62901 |
| Specialty | OPTOMETRY |
| City + Specialty | CARBONDALE + OPTOMETRY |
Please comment or provide details below to improve the information on Paul Jacobs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.