Dainty J Jackson, D O | |
11315 Pembrooke Sq Ste 112, Waldorf, MD 20603-4806 | |
(301) 885-3350 | |
(240) 222-3899 |
Full Name | Dainty J Jackson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 11315 Pembrooke Sq Ste 112, Waldorf, Maryland |
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 |
---|---|---|---|
1194765834 | NPI | - | NPPES |
401725102 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H0058218 (Maryland) | Primary |
Entity Name | Jackson Family Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780825224 PECOS PAC ID: 7810054798 Enrollment ID: O20090319000543 |
Mailing Address | Practice Location Address |
---|---|
Dainty J Jackson, D O Po Box 7876, Upper Marlboro, MD 20792-7876 Ph: (301) 254-8177 | Dainty J Jackson, D O 11315 Pembrooke Sq Ste 112, Waldorf, MD 20603-4806 Ph: (301) 885-3350 |
Stacy O. Ross, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Crain Hwy, Waldorf, MD 20601 Phone: 240-427-1926 Fax: 240-427-1927 | |
Firdous Hasanali Asar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Suite 203, Waldorf, MD 20603 Phone: 301-843-0222 Fax: 301-843-0651 | |
Ivy Wicks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12070 Old Line Ctr Ste 302, Waldorf, MD 20602 Phone: 301-645-6667 Fax: 301-870-9722 | |
Ashley Dunn-kerr, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3225 Crain Hwy, Waldorf, MD 20603 Phone: 301-638-7350 Fax: 301-645-6304 | |
Lachrisa S. Jennings, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 2855 Crain Hwy, Waldorf, MD 20601 Phone: 240-427-1926 | |
Robert Timothy Pace, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602 Phone: 301-645-6667 Fax: 301-870-9722 |