Billie Luke Jackson, MD | |
440 Charter Blvd, Suite 2201, Macon, GA 31210-4857 | |
(478) 477-5575 | |
(478) 477-0707 |
Full Name | Billie Luke Jackson |
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Gender | Female |
Speciality | Dermatology |
Experience | 40 Years |
Location | 440 Charter Blvd, Macon, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235232430 | NPI | - | NPPES |
000373513E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 30791 (Georgia) | Primary |
Entity Name | Billie L. Jackson, M.d., Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114296464 PECOS PAC ID: 8224204086 Enrollment ID: O20111228000180 |
Mailing Address | Practice Location Address |
---|---|
Billie Luke Jackson, MD 440 Charter Blvd, Suite 2201, Macon, GA 31210-4857 Ph: (478) 477-5575 | Billie Luke Jackson, MD 440 Charter Blvd, Suite 2201, Macon, GA 31210-4857 Ph: (478) 477-5575 |
Virginia Childs Hall, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 520 Charter Blvd, Suite 100, Macon, GA 31210 Phone: 478-477-6700 Fax: 478-757-8135 | |
Dr. Judah Norman Greenberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 308 Coliseum Dr Ste 200, Macon, GA 31217 Phone: 478-314-0784 Fax: 478-745-2623 | |
David E Kent, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 308 Coliseum Dr, Suite 200, Macon, GA 31217 Phone: 478-742-2180 Fax: 478-745-2623 | |
David J Cohen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 308 Coliseum Dr, Suite 200, Macon, GA 31217 Phone: 478-742-2180 Fax: 478-745-2623 | |
Supriya Immaneni, MD Dermatology Medicare: Medicare Enrolled Practice Location: 308 Coliseum Dr, St 200, Macon, GA 31217 Phone: 478-742-2180 | |
Bruce Stuart Allen, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1338 Old Forsyth Rd, Macon, GA 31210 Phone: 478-471-7788 |