Dr Leticia J Jacobs, DDS in South Gate, CA - Medicare Dentist Provider

Dr Leticia J Jacobs, DDS is a medicare enrolled "Dentist" provider in South Gate, California. Her current practice location is 8200 Long Beach Blvd, #e, South Gate, California. You can reach out to her office (for appointments etc.) via phone at (323) 581-0707.

Dr Leticia J Jacobs is licensed to practice in California (license number 52613) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407037906.

Contact Information

	Dr Leticia J Jacobs, DDS
	8200 Long Beach Blvd, #e, South Gate, CA 90280-2057
	(323) 581-0707
	(323) 581-0050

Healthcare Provider's Profile

Full Name	Dr Leticia J Jacobs
Gender	Female
Speciality	Dentist
Location	8200 Long Beach Blvd, South Gate, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407037906
Provider Enumeration Date: 11/26/2007
Last Update Date: 02/19/2008

Medicare PECOS Information:

PECOS PAC ID: 9436431863
Enrollment ID: I20170120000194

Medical Identifiers

Medical identifiers for Dr Leticia J Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407037906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	52613 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leticia J Jacobs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Leticia J Jacobs, DDS Po Box 7689, Alhambra, CA 91802-7689 Ph: (818) 512-9332	Dr Leticia J Jacobs, DDS 8200 Long Beach Blvd, #e, South Gate, CA 90280-2057 Ph: (323) 581-0707

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Dentist in South Gate, CA

Dr. Mi Young Han, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5720 Imperial Hwy, G, South Gate, CA 90280 Phone: 562-869-5554
Dr. Sabina Wiederkehr, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4444 Tweedy Blvd, South Gate, CA 90280 Phone: 323-564-2444 Fax: 323-249-7565
Dr. Chau N Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8420 California Ave, South Gate, CA 90280 Phone: 323-567-2137 Fax: 323-567-5514
Dr. Ardeshir Hakhamian, D.D.S., M.P.H.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 10530 Atlantic Ave, South Gate, CA 90280 Phone: 323-569-5000 Fax: 323-569-4000
Stephanie Galilea Banuelos Chavez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8627 Atlantic Ave, South Gate, CA 90280 Phone: 888-499-9303
Dr. Jose Luis Flores, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8617 California Ave, South Gate, CA 90280 Phone: 323-564-5858 Fax: 323-564-7212
Dr. Victor H. Castellanos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 10025 California Ave, South Gate, CA 90280 Phone: 323-569-0858

Dr Leticia J Jacobs, DDS - Medicare Dentist in South Gate, CA