Dr Alfred Vaughn D Jackson, MD | |
416 Main Street, La Jara, CO 81140-0272 | |
(719) 274-4500 | |
(719) 274-4504 |
Full Name | Dr Alfred Vaughn D Jackson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 416 Main Street, La Jara, Colorado |
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 |
---|---|---|---|
1891746707 | NPI | - | NPPES |
01313519 | Medicaid | CO | |
89132 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1823241205 (Utah) | Secondary |
207Q00000X | Family Medicine | 89132 (New Mexico) | Secondary |
207Q00000X | Family Medicine | 31351 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Luis Valley Health Conejos County Hospital | La jara, CO | Hospital |
Rio Grande Hospital | Del norte, CO | Hospital |
San Luis Valley Health | Alamosa, CO | Hospital |
Entity Name | Vaughn D. Jackson Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710308952 PECOS PAC ID: 8527282417 Enrollment ID: O20140616001782 |
Mailing Address | Practice Location Address |
---|---|
Dr Alfred Vaughn D Jackson, MD Po Box 272, 416 Main Street, La Jara, CO 81140-0272 Ph: (719) 274-4500 | Dr Alfred Vaughn D Jackson, MD 416 Main Street, La Jara, CO 81140-0272 Ph: (719) 274-4500 |
Daniel Tailleur, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19021 Us Highway 285, La Jara, CO 81140 Phone: 719-274-6000 Fax: 719-274-6038 | |
Marco A Celada Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19021 Us Highway 285, La Jara, CO 81140 Phone: 719-274-5121 Fax: 719-274-6004 | |
Dr. Leshitha Nuwan Pilapitiya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19021 Us Highway 285, La Jara, CO 81140 Phone: 719-274-6000 Fax: 719-274-6038 |