Dr Grace Nightingale Cortez Jackson, MD | |
3445 Executive Center Drive, Suite 250, Austin, TX 78731-1678 | |
(512) 579-4000 | |
(512) 439-2814 |
Full Name | Dr Grace Nightingale Cortez Jackson |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 20 Years |
Location | 3445 Executive Center Drive, Austin, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104020775 | NPI | - | NPPES |
204459601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | BP1-0016584 (Texas) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | N1690 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center | San antonio, TX | Hospital |
Guadalupe Regional Medical Center | Seguin, TX | Hospital |
Baptist Emergency Hospital | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom And Huang | 7113942798 | 42 |
Entity Name | Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255395810 PECOS PAC ID: 7113942798 Enrollment ID: O20051012000931 |
Mailing Address | Practice Location Address |
---|---|
Dr Grace Nightingale Cortez Jackson, MD 3445 Executive Center Drive, Suite 250, Austin, TX 78731-1678 Ph: (512) 579-4000 | Dr Grace Nightingale Cortez Jackson, MD 3445 Executive Center Drive, Suite 250, Austin, TX 78731-1678 Ph: (512) 579-4000 |
Dr. Joseph Howard Willman, MD Pathology Medicare: Medicare Enrolled Practice Location: 3445 Executive Center Dr, Suite 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 | |
Dr. Robert Domingo, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 12357 A Riata Trace Pkwy, Bldg 5, Ste 100, Thyroid Cytopathology Partners, Austin, TX 78727 Phone: 512-814-0298 Fax: 512-597-2713 | |
Christine Renee Burgess, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3445 Executive Center Drive, Ste 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 | |
Jared Dale Barker, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3445 Executive Center Dr., Ste 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 | |
Vilmos A Thomazy, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 12221 N Mopac Expressway, Namc Department Of Pathology, Austin, TX 78756 Phone: 512-901-1206 Fax: 512-901-1299 | |
Dr. Paul Brooks Gaudin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3445 Executive Center Dr, Suite 250, Austin, TX 78731 Phone: 512-579-4000 Fax: 512-439-2814 |