Adam W Jackson, MD | |
2301 25th St S, Fargo, ND 58103-6104 | |
(701) 417-6130 | |
Not Available |
Full Name | Adam W Jackson |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 18 Years |
Location | 2301 25th St S, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881801694 | NPI | - | NPPES |
18197 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | R-7901 (Iowa) | Secondary |
207T00000X | Neurological Surgery | 40454 (Iowa) | Secondary |
207T00000X | Neurological Surgery | 12888 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Sanford Health Of Northern Minnesota | 5597725168 | 284 |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
Entity Name | Sanford Medical Center Fargo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
---|---|
Adam W Jackson, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Adam W Jackson, MD 2301 25th St S, Fargo, ND 58103-6104 Ph: (701) 417-6130 |
Marcus F Keep, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 | |
Dr. Behzad Sabit, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-234-7400 | |
Mickey G Syrquin, DO Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Tong Yang, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 1st Ave S, Fargo, ND 58103 Phone: 701-234-4036 Fax: 701-234-4050 | |
Dr. Steven Jared Broadway, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2829 University Dr S Ste 202, Fargo, ND 58103 Phone: 701-356-7444 Fax: 701-478-0309 | |
Pelagia E Kouloumberis, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 | |
Dr. Eunkyung Michelle Bahn, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 |