Daryl Jacob, CAA - Anesthesiology in Washington, DC

Daryl Jacob, CAA is a Anesthesiology based in Washington, District Of Columbia. Daryl Jacob is licensed to practice in District Of Columbia (license number AA000080) and his current practice location is 111 Michigan Ave Nw, Washington, District Of Columbia. He can be reached at his office (for appointments etc.) via phone at (888) 884-2327.

NPI number for Daryl Jacob is 1942686316 and his current mailing address is 1968 Peachtree Rd Nw, Atlanta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942686316.

Contact Information

Daryl Jacob, CAA
111 Michigan Ave Nw,
Washington, DC 20010-2916
(888) 884-2327
Not Available



Provider's Profile

Full NameDaryl Jacob
GenderMale
SpecialityAnesthesiology
Location111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942686316
  • Provider Enumeration Date: 08/07/2015
  • Last Update Date: 02/06/2020

Medical Identifiers

Medical identifiers for Daryl Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942686316NPI-NPPES
AA000080OtherDCNCCAA CERTIFICATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 7680 (Georgia)Secondary
367H00000XAnesthesiologist Assistant (* (Not Available))Secondary
207L00000XAnesthesiology AA000080 (District Of Columbia)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. Daryl Jacob 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 AddressPractice Location Address
Daryl Jacob, CAA
1968 Peachtree Rd Nw,
Atlanta, GA 30309-1281

Ph: () -
Daryl Jacob, CAA
111 Michigan Ave Nw,
Washington, DC 20010-2916

Ph: (888) 884-2327

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