Albert Jerome Jackson Jr, MD | |
2710 Saint Francis Dr, Ste 410, Waterloo, IA 50702-5619 | |
(319) 272-5000 | |
Not Available |
Full Name | Albert Jerome Jackson Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 20 Years |
Location | 2710 Saint Francis Dr, Waterloo, Iowa |
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 |
---|---|---|---|
1417168667 | NPI | - | NPPES |
BP2-0023863 | Other | INSTITUTIONAL PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 85529 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 37967 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
Newberry County Memorial Hospital | Newberry, SC | Hospital |
Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
Mailing Address | Practice Location Address |
---|---|
Albert Jerome Jackson Jr, MD 2710 Saint Francis Dr, Ste 410, Waterloo, IA 50702-5619 Ph: (319) 272-5000 | Albert Jerome Jackson Jr, MD 2710 Saint Francis Dr, Ste 410, Waterloo, IA 50702-5619 Ph: (319) 272-5000 |
Frank Edward Hawkins, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3254 Kimball Ave, Waterloo, IA 50702 Phone: 319-235-7246 Fax: 319-235-3017 | |
Dr. Keeran Ghandivel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3886 Fax: 319-233-1630 | |
Luis Avila, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Suite 410, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Vijayasimha Reddy Pothula, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Dr. Nathan S Hahn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Robert N Federhofer, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 410, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Tahseen Husain, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3886 Fax: 319-233-1630 |