Irvin Jacobs
DALLAS FAMILY PRACTICE LLC


Address: 16 Church St, Dallas, PA 18612-1105
Phone: 5706752111

Irvin Jacobs (NPI# 1831158161, PAC ID# 6204878309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1831158161
PAC ID by PECOS 6204878309
Professional Enrollment ID I20050531000351
Full Name Irvin Jacobs
Organization Legal Name DALLAS FAMILY PRACTICE LLC
Address 16 Church St
Dallas
PA 18612-1105
Phone Number 5706752111
Gender M
Credential MD
Medical School JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year 1953
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 3274571229
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390137 WILKES-BARRE GENERAL HOSPITAL
390270 GEISINGER WYOMING VALLEY MEDICAL CENTER
390006 GEISINGER MEDICAL CENTER

Other Locations

Address Phone Organization
16 Church St, Dallas, PA 18612-1105 5706752111 DALLAS FAMILY PRACTICE LLC

Organization Information

Organization Legal Name DALLAS FAMILY PRACTICE LLC
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Lindsay Lynn Shalata Physician Assistant Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105
Jane Durkin Family Medicine Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105
Patricia A Buzinkai Physician Assistant Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105
Richard M Oley Family Medicine Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105
Kari E Nargoski Physician Assistant Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105

Office Location

Street Address 16 CHURCH ST
City DALLAS
State PA
Zip 18612-1105

Physicians in the same location

Name Specialty Organization Address
Lindsay Lynn Shalata Physician Assistant Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105
Jane Durkin Family Medicine Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105
Jennifer Dowd Podiatry 16 Church St, Little Silver, NJ 07739-1440
Patricia A Buzinkai Physician Assistant Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105
Richard M Oley Family Medicine Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105
Audray A Edwards Clinical Social Worker 16 Church St, 2nd Flr, Cortland, NY 13045-2710
Kari E Nargoski Physician Assistant Dallas Family Practice LLC 16 Church St, Dallas, PA 18612-1105

Physicians in the same zip code

Name Specialty Organization Address
Angele M Valerio Nurse Practitioner Minuteclinic Diagnostic of Pennsylvania LLC 5 Church St, Dallas, PA 18612-1155
Gary Tomalis Physical Therapy Pivot Physical Therapy of Pennsylvania LLC 63 Dallas Village Shopping Ctr, Dallas, PA 18612-1231
Darrell R Evans Optometry Eye Care Specialists, P.C. 40 Dallas Village Shopping Ctr, Dallas, PA 18612-1231
Tara M Farrell Optometry Eye Care Specialists, P.C. 40 Dallas Village Shopping Ctr, Dallas, PA 18612-1231
Robert D Blase Optometry Eye Care Specialists, P.C. 40 Dallas Village Shopping Ctr, Dallas, PA 18612-1231
Joshua Wilkes Physical Therapy Pivot Physical Therapy of Pennsylvania LLC 63 Dallas Village Shopping Ctr, Dallas, PA 18612-1231
Frances Mcglynn Nurse Practitioner 20 Wyoming Ave, Dallas, PA 18612-1528
Chase D Susko Physical Therapy Susko Therapy LLC 2800 Memorial Hwy, Suite 5, Dallas, PA 18612-1569
Thomas W Byron Orthopedic Surgery 2800 Memorial Hwy, Dallas, PA 18612-1569
Rebecca L Merchant Physical Therapy Susko Therapy LLC 2800 Memorial Hwy, Suite 5, Dallas, PA 18612-1569
Find all physicians in zip 18612

Competitor

Search similar physicians

City DALLAS
Zip Code 18612
Specialty FAMILY PRACTICE
City + Specialty DALLAS + FAMILY PRACTICE

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Dataset Information

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.

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