Dan Jacobs (NPI# 1831213263, PAC ID# 7214003425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1831213263 |
| PAC ID by PECOS | 7214003425 |
| Professional Enrollment ID | I20080911000252 |
| Full Name | Dan Jacobs |
| Organization Legal Name | CARE CONNECTION |
| Address |
2200 Michener St Suite 20 Philadelphia PA 19115-4374 |
| Phone Number | 2153313200 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8628982386 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 | 2153313200 | CARE CONNECTION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | CARE CONNECTION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Vranizan | Clinical Social Worker | Care Connection | 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 |
| Mary Kathryn Dollard | Nurse Practitioner | Care Connection | 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 |
| Elizabeth Klotz | Clinical Social Worker | Care Connection | 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 |
| Mildred Nevins | Psychologist, Clinical | Care Connection | 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 |
| Myra J Griffith | Clinical Social Worker | Care Connection | 8001 Roosevelt Blvd, Phila, PA 19152-3039 |
| Street Address |
2200 MICHENER ST SUITE 20 |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19115-4374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Vranizan | Clinical Social Worker | Care Connection | 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 |
| Mary Kathryn Dollard | Nurse Practitioner | Care Connection | 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 |
| Elizabeth Klotz | Clinical Social Worker | Care Connection | 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 |
| Mildred Nevins | Psychologist, Clinical | Care Connection | 2200 Michener St, Suite 20, Philadelphia, PA 19115-4374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Burstein | Internal Medicine | Pinnacle Physicians Group LLC | Burstein Medical Associates, 1718 Welsh Road Suite A, Philadelphia, PA 19115 |
| Evisa Peshtani | Physician Assistant | Gabay Ent and Associates, Inc. | 9500 Rooselvelt Blvd, Philadelphia, PA 19115 |
| Robert Bond | Physician Assistant | Gabay Ent and Associates, Inc. | 9500 Rooselvelt Blvd, Philadelphia, PA 19115 |
| Steven C Gumeiner | Anesthesiology | Premier Anesthesia of Pennsylvania PC | 240 Geiger Rd, Philadelphia, PA 19115-1008 |
| Robert N Kessler | Chiropractic | 9987 Verree Rd, Philadelphia, PA 19115-1437 | |
| David S. Vanderlyke | Podiatry | 842 Red Lion Rd, Suite 10, Philadelphia, PA 19115-1475 | |
| Adelaida Merker | Family Medicine | 842 Red Lion Rd, Suite 7, Philadelphia, PA 19115-1475 | |
| Larisa Granovsky | Chiropractic | 842 Red Lion Rd, Suite 8, Philadelphia, PA 19115-1475 | |
| Viktor Briker | Optometry | 842 Red Lion Rd, Suite 18, Philadelphia, PA 19115-1475 | |
| Shannon C Miller | Physician Assistant | Dr. Jeffrey S. Weisman, PC | 9908 E Roosevelt Blvd, Philadelphia, PA 19115-1705 |
| Find all physicians in zip 19115 | |||
| City | PHILADELPHIA |
| Zip Code | 19115 |
| Specialty | PSYCHIATRY |
| City + Specialty | PHILADELPHIA + PSYCHIATRY |
Please comment or provide details below to improve the information on Dan 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.