Dr Jackson B Taylor, MD | |
200 Mercy Circle, Camp Pendleton, CA 92055-5191 | |
(760) 719-3696 | |
Not Available |
Full Name | Dr Jackson B Taylor |
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Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 200 Mercy Circle, Camp Pendleton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487821559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 9901339 (North Carolina) | Primary |
208200000X | Plastic Surgery | 9901339 (North Carolina) | Secondary |
Entity Name | Moses Cone Physician Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
Mailing Address | Practice Location Address |
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Dr Jackson B Taylor, MD 4398 Stanford St, Carlsbad, CA 92010-7922 Ph: (757) 469-5474 | Dr Jackson B Taylor, MD 200 Mercy Circle, Camp Pendleton, CA 92055-5191 Ph: (760) 719-3696 |
Thanh Tuyen Thi Huynh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: U.s. Naval Hospital, Camp Pendleton, CA 92055 Phone: 760-725-1356 | |
Benjamin David Hoagland, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1288 | |
Dr. Evan Andrew Liggett, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 415-748-9927 | |
Augustus Gleason, MD Surgery Medicare: Medicare Enrolled Practice Location: 200 Mercy Circle, Department Of Surgery, Camp Pendleton, CA 92055 Phone: 760-725-1356 | |
Dr. Victoria Shoko Divis Mcdonald, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, General Surgery Clinic, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Dr. William Charles Brunner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055 Phone: 760-725-1356 Fax: 760-725-0117 | |
Oleg A Ryabinin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-725-1356 |