Calvin R Jackson, | |
2123 Wrightsboro Rd, Augusta, GA 30904-4777 | |
(706) 736-5244 | |
(706) 736-5246 |
Full Name | Calvin R Jackson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 37 Years |
Location | 2123 Wrightsboro Rd, Augusta, Georgia |
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 |
---|---|---|---|
1740398338 | NPI | - | NPPES |
000623796B | Medicaid | GA | |
164495 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 031265 (Georgia) | Primary |
207R00000X | Internal Medicine | 16449 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital | Augusta, GA | Hospital |
Entity Name | Csra Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164530689 PECOS PAC ID: 8729102512 Enrollment ID: O20100831000644 |
Entity Name | Wrightsboro Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912386038 PECOS PAC ID: 9638483761 Enrollment ID: O20150804003773 |
Entity Name | Medical Office Force |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508378613 PECOS PAC ID: 9335481951 Enrollment ID: O20190501001903 |
Entity Name | Magnatel Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619689817 PECOS PAC ID: 7113391558 Enrollment ID: O20231004001863 |
Mailing Address | Practice Location Address |
---|---|
Calvin R Jackson, 2123 Wrightsboro Rd, Augusta, GA 30904-4777 Ph: (706) 736-5244 | Calvin R Jackson, 2123 Wrightsboro Rd, Augusta, GA 30904-4777 Ph: (706) 736-5244 |
Dr. Bryan Richard Broach, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Kayla Ashley Shahbazian, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Dr. Harvey Schwartz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. Anam Asif Herekar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2423 | |
Haley Sorensen, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3186 | |
Dr. Robert Allen Price, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 | |
Matthew Kevin Howard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901 Phone: 706-724-3473 |