Angela Marie Jacobs, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD456569 Issued in PA

Practice address

100 N Academy Ave
Danville, PA 17822-1335

Phone

(570) 271-6516

NPI assigned

Jun 19, 2008

Last updated

Apr 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, PA, FL, NC, TX, CA, AZ7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 7

Specialty

Psychiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Post Acute Specialists of Texas PAGroup PAC ID 2769814573, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713

  AZ, FL, TX

  Medicare reassignment Care Compare group NPD
• Post Acute Specialists of Texas PA

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1942859350
  Medicare reassignment Care Compare group NPD
• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Greater Philadelphia Health Action Inc.

  dba GPHA Woodland Ave. Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1205140902
  Medicare reassignment NPD
• Lancaster Behavioral Health Hospital LLC

  dba Lancaster Behavioral Health Hospital

  • Psychiatric Hospital
  • Lancaster, PA
  • NPI 1063929115
  Medicare reassignment NPD
• Bronson Battle Creek Hospital

  dba Bronson Medical Group

  • Internal Medicine Physician
  • Battle Creek, MI
  • NPI 1093119638

  Psychiatry

  Medicare reassignment NPD
• Healthsource Saginaw Inc

  • Skilled Nursing Facility
  • Saginaw, MI
  • NPI 1265426704
  Medicare reassignment NPD
• Inspire Medical Care PA

  dba Inspire Center for Digestive Health

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1154001907
  Medicare reassignment NPD
• Pine Rest Christian Mental Health Services

  • General Practice Physician
  • Grand Rapids, MI
  • NPI 1851309884
  Medicare reassignment NPD
• Post Acute Specialists of Florida PLLC

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1992571608

  Psychiatry

  Medicare reassignment NPD
• Ehab Yacoub MD PLLC

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1700685997
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Robert Packer Hospital

  • General Acute Care Hospital
  • Sayre, PA
  • NPI 1083614382
  Care Compare affiliation
• Robert Packer Hospital

  dba Robert Packer Hospital, Towanda Campus

  • General Acute Care Hospital
  • Towanda, PA
  • NPI 1134734528
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1144481425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178221335",
            "telephone_number": "570-271-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301092668",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301092668",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD456569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Jablonski, PA-C
• Jordan Olivia Jackson
• Peter Foley Jackson, DMD
• Arun Jacob, M.D
• Jilu M Jacob
• Darren L. Jacobs, D.O.
• Jeremiah Jacobs, PHARMD.
• Paula J. Jacobs, CRNP
• Sarah Rose Jacobs, DO
• Steven Aaron Jacobs, DO

• Psychiatry Physician in Danville, PA
• Providers in Danville, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.