Jacob Iceberg, DO in Grand Rapids, MI - Family Medicine

Jacob Iceberg, DO is a Family Medicine physician based in Grand Rapids, Michigan. Jacob Iceberg is licensed to practice in Michigan (license number 5101026922) and his current practice location is 280 60th St Se # 200, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 483-0750.

NPI number for Jacob Iceberg is 1043836612 and his current mailing address is 280 60th St Se # 200, Grand Rapids, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043836612.

Contact Information

	Jacob Iceberg, DO
	280 60th St Se # 200, Grand Rapids, MI 49548-8504
	(616) 483-0750
	Not Available

Physician's Profile

Full Name	Jacob Iceberg
Gender	Male
Speciality	Family Medicine
Location	280 60th St Se # 200, Grand Rapids, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043836612
Provider Enumeration Date: 06/19/2020
Last Update Date: 07/18/2023

Medical Identifiers

Medical identifiers for Jacob Iceberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043836612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101026922 (Michigan)	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. Jacob Iceberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Iceberg, DO 280 60th St Se # 200, Grand Rapids, MI 49548-8504 Ph: (616) 483-0750	Jacob Iceberg, DO 280 60th St Se # 200, Grand Rapids, MI 49548-8504 Ph: (616) 483-0750

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Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600
Lucas Patrick Friedli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6735 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-956-9400 Fax: 616-956-9708
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225

Jacob Iceberg, DO - Family Medicine in Grand Rapids, MI