Amanda Price Jackson, MD | |
4410 106th St Sw, Mukilteo, WA 98275-4700 | |
(425) 493-6004 | |
Not Available |
Full Name | Amanda Price Jackson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 4410 106th St Sw, Mukilteo, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366451999 | NPI | - | NPPES |
1091558 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD45776 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optum Care Washington Pllc | 6406752153 | 559 |
Entity Name | Optum Care Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
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Amanda Price Jackson, MD Po Box 5127, Everett, WA 98206-5127 Ph: () - | Amanda Price Jackson, MD 4410 106th St Sw, Mukilteo, WA 98275-4700 Ph: (425) 493-6004 |
Christoper J Bibby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6015 | |
Marcia H Saul, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-339-6000 | |
Dr. Ramin Baimaninejad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4112 Harbour Pointe Blvd Sw Ste 100, Mukilteo, WA 98275 Phone: 425-347-6330 | |
John Mark Beard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 | |
Stephen S Campbell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6025 | |
Stephen Dahlberg, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6004 |