Individual ProviderElad JacobyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1800 Orleans Street, The Bloomberg Children'S Center, Rom 11379, Baltimore, MD 21287(410) 955-8751PECOS EnrollmentBased on the most recent information from CMS, provider Elad Jacoby is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124378617Provider TypeIndividualFull NameJacoby, EladTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date9/12/2012Last Updated9/12/2012Contact InformationPractice LocationPractice Address1800 Orleans Street, The Bloomberg Children'S Center, Rom 11379, Baltimore, MD 21287Phone(410) 955-8751Fax(410) 955-0028Mailing LocationMailing Address1800 Orleans Street, The Bloomberg Children'S Center, Rom 11379, Baltimore, MD 21287Phone(410) 955-8751Fax(410) 955-0028Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer