Stephane Jacobus (NPI# 1346382041, PAC ID# 2961509658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1346382041 |
PAC ID by PECOS | 2961509658 |
Professional Enrollment ID | I20070514000515 |
Full Name | Stephane Jacobus |
Organization Legal Name | BAYSTATE MEDICAL CENTER INC. |
Address |
759 Chestnut St Springfield MA 01199-1001 |
Phone Number | 4137940000 |
Gender | F |
Graduation Year | 1994 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Group Practice PAC ID | 9931184496 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220077 | BAYSTATE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
759 Chestnut St, Springfield, MA 01199-1001 | 4137940000 | BAYSTATE MEDICAL CENTER INC. |
759 Chestnut St, Wg703 Baystate Behav Hlth Psych Consult, Springfield, MA 01199-1001 | 4137943376 | BAYSTATE MEDICAL CENTER INC. |
Organization Legal Name | BAYSTATE MEDICAL CENTER INC. |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alan D Seigel | Clinical Social Worker | Baystate Medical Center Inc. | 759 Chestnut St, Springfield, MA 01199-1001 |
Brenda Temblador | Psychologist, Clinical | Baystate Medical Center Inc. | 759 Chestnut St, Springfield, MA 01199-1001 |
Kent E Higgins | Psychologist, Clinical | Baystate Medical Center Inc. | 759 Chestnut St, Springfield, MA 01199-1001 |
Vicki Weld | Clinical Social Worker | Baystate Medical Center Inc. | 759 Chestnut St, Springfield, MA 01199-1001 |
Peter Thunfors | Psychologist, Clinical | Baystate Medical Center Inc. | 3300 Main St, Springfield, MA 01107-1112 |
Zachary A Marowitz | Psychologist, Clinical | Baystate Medical Center Inc. | 759 Chestnut St, Springfield, MA 01199-1001 |
Viktoriya Samarina | Clinical Psychologist | Baystate Medical Center Inc. | 3300 Main St, Baystate Behav Hlth Adult Psych, Springfield, MA 01107-1112 |
Street Address |
759 CHESTNUT ST |
City | SPRINGFIELD |
State | MA |
Zip | 01199-1001 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mehak Ali | Hospitalist | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01199-1001 |
Poornachandran Manikantan | Anesthesiology | Springfield Anesthesia Service Inc | 759 Chestnut St, Springfield, MA 01199-1001 |
Linda Theriault | Physician Assistant | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01107-1619 |
Stephen A Lieberman | Pediatric Medicine | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01107-1619 |
Stephen Gallo | Urology | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01107-1619 |
Yu G Zeng | Diagnostic Radiology | Radiology and Imaging, Inc. | 759 Chestnut St, Springfield, MA 01107-1619 |
Benjamin J Barnes | Neurology | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01107-1619 |
Tamer Bahgat | Physician Assistant | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01107-1619 |
Jill Levin | Hospitalist | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01199-1001 |
Katharine A Green | Certified Nurse Midwife (cnm) | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01107-1619 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Hilary Branch | Pediatric Medicine | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Neurodiagnostic, Springfield, MA 01199-0002 |
Kevin T Hinchey | Hospitalist | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Neurodiagnostic, Springfield, MA 01199-0002 |
Sarita Singhal | Pediatric Medicine | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Springfield, MA 01199-0002 |
Mary Jepsen | Nurse Practitioner | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Springfield, MA 01199-0002 |
Morris Earle Jr. | Pediatric Medicine | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Springfield, MA 01199-0002 |
Jeffrey Korff | Internal Medicine | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Neurodiagnostic, Springfield, MA 01199-0002 |
Elizabeth D Baker | Pediatric Medicine | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Neurodiagnostic, Springfield, MA 01199-0002 |
Leonard M Seeve | Psychiatry | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Springfield, MA 01199-0002 |
Biljana Simikic | Internal Medicine | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Neurodiagnostic, Springfield, MA 01199-0002 |
Ashley Kuselias | Physician Assistant | Baystate Medical Practices Inc | 759 Chestnut St Wesson G, Springfield, MA 01199-0002 |
Find all physicians in zip 01199 |
City | SPRINGFIELD |
Zip Code | 01199 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | SPRINGFIELD + PSYCHOLOGIST, CLINICAL |
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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.