| Adrienne Jackson, AUD | |
|
600 Gresham Dr Ste 1100, Norfolk, VA 23507 | |
| (757) 388-6200 | |
| (757) 388-6201 |
| Full Name | Adrienne Jackson |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 600 Gresham Dr Ste 1100, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417443987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2201001697 (Virginia) | Primary |
| Provider Name | Evms Academic Physicians And Surgeons Health Services Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003887118 PECOS PAC ID: 5698675510 Enrollment ID: O20040304001377 |
| Provider Name | Childrens Specialty Group Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Adrienne Jackson, AUD Po Box 936, Norfolk, VA 23501-0936 Ph: (757) 388-6200 | Adrienne Jackson, AUD 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Ph: (757) 388-6200 |
Rebekah Ann Crisp, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Suite 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Alexandria Frances Matz, AU.D., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Dr. Rachael Piper Adams, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 6363 Center Dr Ste 205, Norfolk, VA 23502 Phone: 757-937-8028 Fax: 757-937-8030 | |
Mrs. Jennie Rebecca Desy, M.S., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 885 Kempsville Rd Ste 221, Norfolk, VA 23502 Phone: 757-623-0526 Fax: 757-627-6471 | |
Allen Cabahug Derina, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Melissa G Pola, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Suite 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Alyson Noel Mellish, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 |