Eric F Jacobs, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

08646R Issued in LA

Practice address

102 E Fourth St
Dequincy, LA 70633-3502

Phone

(337) 786-3030

Fax

(337) 786-6066

NPI assigned

Mar 28, 2007

Last updated

Oct 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dequincy Memorial Hospital Hospital, Dequincy, LA, CCN 191307

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmhejacob@yourcarecommunity.org

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.

• Jacobs Family Medical Clinic

  • Family Medicine Physician
  • Dequincy, LA
  • NPI 1740302322
  Medicare reassignment NPD Authorized official
• Dennis G Walker Family Clinic

  • Primary Care Clinic/Center
  • Crowley, LA
  • NPI 1760015721
  Medicare reassignment NPD

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

• CLHG-Dequincy, LLC

  dba Dequincy Memorial Hospital

  • Critical Access Hospital
  • Dequincy, LA
  • NPI 1902469653
  Care Compare affiliation

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1447379672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E FOURTH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333502",
            "telephone_number": "337-786-3030",
            "fax_number": "337-786-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E FOURTH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333502",
            "telephone_number": "337-786-3030",
            "fax_number": "337-786-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ERIC",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "08646R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1921718",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nafeesa Hashmi, FNP
• Tayler Ryan Hext
• Imperial Health, LLP
• Imperial Health, LLP
• Jacobs Family Medical Clinic
• Jalal Joudeh (DeQuincy Medical Clinic)
• Charles James Johnson, RPH
• Jalal Joudeh, M.D.
• Lake Area Dentistry-Dequincy, LLC (Lake Area Dentistry)
• George Leeds, HEALTH COACH

• Family Medicine Physician in Dequincy, LA
• Providers in Dequincy, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.