Allen Thomas Jackson, MD | |
1201 S Ridgewood Ave, Daytona Beach, FL 32114-6123 | |
(386) 492-7718 | |
(386) 492-7720 |
Full Name | Allen Thomas Jackson |
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Gender | Male |
Speciality | Ophthalmology |
Experience | 39 Years |
Location | 1201 S Ridgewood Ave, Daytona Beach, Florida |
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 |
---|---|---|---|
1932151479 | NPI | - | NPPES |
001628800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | ME80695 (Florida) | Primary |
Entity Name | 3d Vision Eye Surgery Center Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245569508 PECOS PAC ID: 2769526797 Enrollment ID: O20100409000031 |
Mailing Address | Practice Location Address |
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Allen Thomas Jackson, MD 1201 S Ridgewood Ave, Daytona Beach, FL 32114-6123 Ph: (386) 492-7718 | Allen Thomas Jackson, MD 1201 S Ridgewood Ave, Daytona Beach, FL 32114-6123 Ph: (386) 492-7718 |
Dr. Annemarie Etienne, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-676-7103 Fax: 386-676-7186 | |
Nishita D Patel, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 517 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-0393 Fax: 386-253-3484 | |
Robert Runyan Young, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 505 Health Blvd, Daytona Beach, FL 32114 Phone: 386-255-5050 Fax: 386-255-5029 | |
Suzanne M. Demming, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 529 Health Blvd, Daytona Beach, FL 32114 Phone: 386-254-1951 Fax: 386-239-9758 | |
James Li, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 505 Health Blvd, Daytona Beach, FL 32114 Phone: 386-255-5050 Fax: 386-255-5029 | |
Asher Yerucham Neren, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-676-7103 Fax: 386-676-7186 | |
Karl Ellsworth Waite, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 529 Health Blvd, Daytona Beach, FL 32114 Phone: 800-255-7188 Fax: 386-239-9758 |