Lukose Jacob (NPI# 1912046640, PAC ID# 5698074789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1912046640 |
| PAC ID by PECOS | 5698074789 |
| Professional Enrollment ID | I20160425000007 |
| Full Name | Lukose Jacob |
| Organization Legal Name | SERENITY PSYCHOLOGICAL SERVICES INC |
| Address |
7280 Swstate Rd Suite 26 Trenton FL 32693-5881 |
| Phone Number | 3624631222 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769539493 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16718 N Hwy 329, Reddick, FL 32686-3049 | 3524946857 | NORTH FLORIDA ASSESSMENT AND COUNSELING INC |
| 7280 Swstate Rd, Suite 26, Trenton, FL 32693-5881 | 3624631222 | SERENITY PSYCHOLOGICAL SERVICES INC |
| Organization Legal Name | SERENITY PSYCHOLOGICAL SERVICES INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayriam B Javier | Clinical Social Worker | Serenity Psychological Services Inc | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 |
| April C Roberts | Psychologist, Clinical | Serenity Psychological Services Inc | 110 Kay Larkin Dr, Palatka, FL 32177-2312 |
| Street Address |
7280 SWSTATE RD SUITE 26 |
| City | TRENTON |
| State | FL |
| Zip | 32693-5881 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lilia Acebron | Nurse Practitioner | Trenton Medical Center, Inc | 911 S Main St, Trenton, FL 32693-3239 |
| Shonverea Robinson | General Practice | Trenton Medical Center, Inc | 911 S Main St, Trenton, FL 32693-3239 |
| Anubha Gupta | Family Medicine | Trenton Medical Center, Inc | 911 S Main St, Trenton, FL 32693-3239 |
| Brianna Riehl | Nurse Practitioner | Trenton Medical Center, Inc | 911 S Main St, Trenton, FL 32693-3239 |
| Leah M Bishop | Nurse Practitioner | Leggett Medical Group Inc | 651 Se 41st Ave, Trenton, FL 32693-5003 |
| Hiram Dickinson | Nurse Practitioner | Leggett Medical Group Inc | 651 Se 41st Ave, Trenton, FL 32693-5003 |
| Rhonda R Holb | Nurse Practitioner | Leggett Medical Group Inc | 651 Se 41st Ave, Trenton, FL 32693-5003 |
| City | TRENTON |
| Zip Code | 32693 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | TRENTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lukose Jacob.
| 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.