Dr David Spencer Jackson, MD | |
11055 Little Patuxent Pkwy, Suite 205, Columbia, MD 21044-2896 | |
(410) 740-0789 | |
(410) 740-7024 |
Full Name | Dr David Spencer Jackson |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 44 Years |
Location | 11055 Little Patuxent Pkwy, Columbia, Maryland |
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 |
---|---|---|---|
1891796900 | NPI | - | NPPES |
398140-03 | Other | MD | CAREFIRST MD RENDERING |
4238639 | Other | MD | AETNA FEE FOR SERVICE |
P528953 | Other | MD | CAREFIRST MPOS |
0477972 | Other | MD | AETNA CAPITATED |
478471500 | Medicaid | MD | |
060041579 | Other | MD | RR MEDICARE |
318934 | Other | MD | MAMSI SPECIALIST |
3509-0006 | Other | MD | CAREFIRST BLUECHOICE |
018410 | Other | MD | JHHC PROVIDER NUMBER |
0149212 | Other | MD | CIGNA PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | D35217 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Howard County General Hospital | Columbia, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maryland Primary Care Physicians, Llc | 8729981832 | 91 |
Entity Name | Maryland Primary Care Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083667067 PECOS PAC ID: 8729981832 Enrollment ID: O20040128000134 |
Mailing Address | Practice Location Address |
---|---|
Dr David Spencer Jackson, MD 7580 Buckingham Blvd Ste 220, Hanover, MD 21076-3210 Ph: (410) 729-5100 | Dr David Spencer Jackson, MD 11055 Little Patuxent Pkwy, Suite 205, Columbia, MD 21044-2896 Ph: (410) 740-0789 |
Dr. Jon Kent Minford, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Dr. Jacob Cherian, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Columbia, MD 21045 Phone: 410-964-5311 Fax: 410-964-8578 | |
Dr. Tejaswi Rajasekhara Sastry, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Michael Howard Kelemen, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Suite 200b, Columbia, MD 21045 Phone: 410-964-5303 | |
Dr. Tin O Maung, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5999 Harpers Farm Rd, Suite W250, Columbia, MD 21044 Phone: 410-772-8822 Fax: 410-772-9274 | |
Dr. Jeffery Wayne Van Den Broek, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite 110, Columbia, MD 21044 Phone: 410-992-9797 Fax: 410-730-0942 | |
Angela M. Kopack, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-884-1311 Fax: 410-884-6033 |