Mark D Jacobson (NPI# 1306894423, PAC ID# 6103900576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1306894423 |
| PAC ID by PECOS | 6103900576 |
| Professional Enrollment ID | I20090317000185 |
| Full Name | Mark D Jacobson |
| Organization Legal Name | INVERNESS MEDICAL IMAGING, LLC |
| Address |
2105 Hwy 44 W Inverness FL 34452-3805 |
| Phone Number | 3524194818 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 3870590672 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 2105 Hwy 44 W, Inverness, FL 34452-3805 | 3524194818 | INVERNESS MEDICAL IMAGING, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 99% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% |
| Organization Legal Name | INVERNESS MEDICAL IMAGING, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles K Zachar | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Riccardo M De Girolami | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Street Address |
2105 HWY 44 W |
| City | INVERNESS |
| State | FL |
| Zip | 34452-3805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles K Zachar | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Riccardo M De Girolami | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena R Nathan | Internal Medicine | 840 S Bea Ave, Inverness, FL 34452-3603 | |
| Rama V Nathan | Otolaryngology | 820 S Bea Ave, Inverness, FL 34452-3603 | |
| Vikas G Kamat | Internal Medicine | Meena R Nathan Md Pa | 840 S Bea Ave, Inverness, FL 34452-3603 |
| Derek D Benthusen | Physical Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Laura Mae Mazelis | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Sherrie Kearse Ramsay | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Kristina Shipman | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Mary Jane Seeley | Qualified Speech Language Pathologist | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Carli Benthusen | Physical Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Anna Heinzman | Physical Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Find all physicians in zip 34452 | |||
| City | INVERNESS |
| Zip Code | 34452 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | INVERNESS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mark D 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.