Dr Alan Fowler Jacks, M D | |
845 Malcolm Blvd., Connelly Springs, NC 28612 | |
(828) 580-3555 | |
(828) 874-2111 |
Full Name | Dr Alan Fowler Jacks |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 33 Years |
Location | 845 Malcolm Blvd., Connelly Springs, North Carolina |
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 |
---|---|---|---|
1992987713 | NPI | - | NPPES |
1992987713 | Medicaid | NC | |
891013E | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 9601640 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Healthcare System-blue Ridge | Morganton, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Healthcare Medical Group Inc | 9436159712 | 176 |
Entity Name | Blue Ridge Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467993931 PECOS PAC ID: 9436159712 Enrollment ID: O20070110000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Alan Fowler Jacks, M D 845 Malcolm Blvd., Connelly Springs, NC 28612 Ph: (828) 580-3555 | Dr Alan Fowler Jacks, M D 845 Malcolm Blvd., Connelly Springs, NC 28612 Ph: (828) 580-3555 |
Dr. Quincy Justin Greene, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 730 Malcolm Blvd Ste 100, Connelly Springs, NC 28612 Phone: 828-580-2250 Fax: 828-580-2252 | |
Mr. Jayendrakumar I Patel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 722 Malcolm Blvd, Connelly Springs, NC 28612 Phone: 828-580-7655 Fax: 828-874-2278 | |
Danielle Marie Fontaine, MD Surgery Medicare: Medicare Enrolled Practice Location: 730 Malcolm Blvd, Connelly Springs, NC 28612 Phone: 828-580-3572 |