Dr Charles William Jackson, MD | |
17122 Beach Blvd, Suite 102, Huntington Beach, CA 92647-5992 | |
(714) 847-6545 | |
(714) 847-6547 |
Full Name | Dr Charles William Jackson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 48 Years |
Location | 17122 Beach Blvd, Huntington Beach, California |
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 |
---|---|---|---|
1083662845 | NPI | - | NPPES |
00G353110 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | G35311 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Companion Home Health | Orange, CA | Home health agency |
Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
Entity Name | Charles W Jackson Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851594006 PECOS PAC ID: 1153453121 Enrollment ID: O20100712000081 |
Mailing Address | Practice Location Address |
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Dr Charles William Jackson, MD 17122 Beach Blvd, Suite 102, Huntington Beach, CA 92647-5992 Ph: (714) 847-6545 | Dr Charles William Jackson, MD 17122 Beach Blvd, Suite 102, Huntington Beach, CA 92647-5992 Ph: (714) 847-6545 |
David Stanley Poder, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6289 Pacific Pointe Dr, Huntington Beach, CA 92648 Phone: 714-849-1826 Fax: 714-374-7438 | |
Barry M. Schwartz, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 17822 Beach Blvd Ste 100, Huntington Beach, CA 92647 Phone: 714-841-1040 Fax: 714-841-1031 | |
Dr. Kazi Rezai, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 18672 Florida St, Suite 302-b, Huntington Beach, CA 92648 Phone: 714-375-0691 | |
Arnold J Brender, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 17742 Beach Blvd, Ste 215, Huntington Beach, CA 92647 Phone: 714-848-1655 Fax: 714-847-4348 | |
Dr. Scott Douglass Ewing, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 20001 Beach Blvd, Huntington Beach, CA 92648 Phone: 949-945-4255 Fax: 714-849-1464 | |
Brian W. Capeloto, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 9042 Garfield Ave Ste 206, Huntington Beach, CA 92646 Phone: 714-729-4156 |