Carrie Rose Klotz Jackson, MD | |
134 Homer Ave, Cortland, NY 13045-1206 | |
(410) 409-5844 | |
Not Available |
Full Name | Carrie Rose Klotz Jackson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 17 Years |
Location | 134 Homer Ave, Cortland, New York |
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 |
---|---|---|---|
1851595334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 256859 (New York) | Primary |
207P00000X | Emergency Medicine | MD0000045187 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Medicine Physicians Of Cortland County Pllc | 6002802725 | 5 |
Entity Name | Emergency Medicine Physicians Of Cortland County Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609816024 PECOS PAC ID: 6002802725 Enrollment ID: O20040420001468 |
Mailing Address | Practice Location Address |
---|---|
Carrie Rose Klotz Jackson, MD 134 Homer Ave, Cortland, NY 13045-1206 Ph: (410) 409-5844 | Carrie Rose Klotz Jackson, MD 134 Homer Ave, Cortland, NY 13045-1206 Ph: (410) 409-5844 |
Regina J Kumar, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 330-493-4443 Fax: 330-493-8677 | |
David D Wirtz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-756-3743 | |
Lisa M Lawsing, FNP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1129 Commons Ave, Cortland, NY 13045 Phone: 607-756-7200 | |
Ann C Robenstien, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 330-493-4443 | |
Andrew Jenis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 330-493-4443 Fax: 330-493-8677 |