Thomas A Jacobson (NPI# 1346203338, PAC ID# 2163464363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346203338 |
| PAC ID by PECOS | 2163464363 |
| Professional Enrollment ID | I20141014000564 |
| Full Name | Thomas A Jacobson |
| Organization Legal Name | GULF COAST MEDICAL CENTER PRIMARY CARE LLC |
| Address |
16181 Panama City Beach Pkwy Panama City Beach FL 32413-5423 |
| Phone Number | 8507691462 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648288589 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100026 | BAY MEDICAL CENTER SACRED HEART HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 16181 Panama City Beach Pkwy, Panama City Beach, FL 32413-5423 | 8507691462 | GULF COAST MEDICAL CENTER PRIMARY CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | GULF COAST MEDICAL CENTER PRIMARY CARE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra Foran | Nurse Practitioner | Gulf Coast Medical Center Primary Care LLC | 4121 W Hwy 98, Panama City, FL 32401-1170 |
| Amy E Smith | Nurse Practitioner | Gulf Coast Medical Center Primary Care LLC | 16181 Panama City Beach Pkwy, Panama City Beach, FL 32413-5423 |
| Rush E Akin | Internal Medicine | Gulf Coast Medical Center Primary Care LLC | 2202 State Ave, Suite 207, Panama City, FL 32405-4582 |
| Angelo P Herbu | Nurse Practitioner | Gulf Coast Medical Center Primary Care LLC | 4121 W Hwy 98, Panama City, FL 32401-1170 |
| Delia Wilkins | Physician Assistant | Gulf Coast Medical Center Primary Care LLC | 2202 State Ave, Suite 207, Panama City, FL 32405-4582 |
| Stephen Armistead | Family Practice | Gulf Coast Medical Center Primary Care LLC | 16181 Panama City Beach Pkwy, Panama City Beach, FL 32413-5423 |
| Street Address |
16181 PANAMA CITY BEACH PKWY |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip | 32413-5423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Smith | Nurse Practitioner | Gulf Coast Medical Center Primary Care LLC | 16181 Panama City Beach Pkwy, Panama City Beach, FL 32413-5423 |
| Stephen Armistead | Family Practice | Gulf Coast Medical Center Primary Care LLC | 16181 Panama City Beach Pkwy, Panama City Beach, FL 32413-5423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sanders Mckee | Family Medicine | 22606 Panama City Beach Pkwy, Panama City Beach, FL 32413-1150 | |
| Carol K Andersen | Nurse Practitioner | 122 Serenade Ln, Panama City Beach, FL 32413-1351 | |
| Lisa R Calhoun | Chiropractic | 16600 Panama City Beach Pkwy, Panama City Beach, FL 32413-2219 | |
| Anne Marie Taylor | Audiologist | 203-c N Hwy 79, Panama City Beach, FL 32413-2225 | |
| Donald P Dorenkamp | Physician Assistant | 16900 Front Beach Rd, Panama City Beach, FL 32413-2345 | |
| Josephine Cannella-krehl | Clinical Social Worker | Senior Living Behavioral Health, Pllc | 300 Cabana Cay Cir, Panama City Beach, FL 32413-4684 |
| Sean Goynes | Physical Therapy | Premier Rehab Management LLC | 16201 Panama City Beach Pkwy, A, Panama City, FL 32413-5306 |
| Patsy Regina Merritt | Physical Therapy | Premier Rehab Management LLC | 16201 Panama City Beach Pkwy, A, Panama City, FL 32413-5306 |
| Kyle Sanders | Physical Therapy | Premier Rehab Management LLC | 16201 Panama City Beach Pkwy, A, Panama City, FL 32413-5306 |
| Abigail Ruth Dewitt | Physical Therapy | Premier Rehab Management LLC | 16201 Panama City Beach Pkwy, A, Panama City, FL 32413-5306 |
| Find all physicians in zip 32413 | |||
| City | PANAMA CITY BEACH |
| Zip Code | 32413 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PANAMA CITY BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas A Jacobson.
| 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.