Audra M Jackson, MD | |
3808 South Gary, Fort Smith, AR 72903-5450 | |
(479) 709-7120 | |
(479) 709-7123 |
Full Name | Audra M Jackson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 18 Years |
Location | 3808 South Gary, Fort Smith, Arkansas |
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 |
---|---|---|---|
1093815268 | NPI | - | NPPES |
200231990A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E6098 (Arkansas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health - Fort Smith | Fort smith, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Services | 0648514133 | 135 |
Entity Name | Fort Smith Hma Pbc Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383 |
Entity Name | Baptist Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401 |
Mailing Address | Practice Location Address |
---|---|
Audra M Jackson, MD Po Box 402319, Atlanta, GA 30384-2319 Ph: (479) 709-7399 | Audra M Jackson, MD 3808 South Gary, Fort Smith, AR 72903-5450 Ph: (479) 709-7120 |
Dr. Thomas Michael Hillis Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6248 Fax: 479-314-6159 | |
Dr. David B Sills, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8101 Mcclure Dr # 203, Fort Smith, AR 72916 Phone: 792-422-5774 Fax: 479-434-5987 | |
Dr. Brian H Rodgers, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 Fax: 479-274-2194 | |
Dr. Jessiela Venis Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 S 12th St, Fort Smith, AR 72901 Phone: 479-785-2431 Fax: 479-785-0732 | |
Dr. Allen L Beachy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Cliff Dr, Fort Smith, AR 72903 Phone: 479-259-9286 | |
Dr. Thomas E Cheyne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 We Knight Dr, Fort Smith, AR 72903 Phone: 479-709-6700 Fax: 479-709-6751 |