Dr Gretchen Purcell Jackson, MD, PHD | |
3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | |
(615) 322-3000 | |
Not Available |
Full Name | Dr Gretchen Purcell Jackson |
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Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 3601 The Vanderbilt Clinic, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790712693 | NPI | - | NPPES |
620476822 | Other | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD41269 (Tennessee) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | MD41269 (Tennessee) | Primary |
Entity Name | Vanderbilt University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
---|---|
Dr Gretchen Purcell Jackson, MD, PHD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 322-3573 | Dr Gretchen Purcell Jackson, MD, PHD 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 Ph: (615) 322-3000 |
Dr. Clayton Allen Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike Ste 530, Nashville, TN 37205 Phone: 615-222-5500 Fax: 615-222-5601 | |
Dr. Patrick Davis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 393 Wallace Rd Ste 301, Nashville, TN 37211 Phone: 615-425-0550 Fax: 615-833-8287 | |
Kenneth Sharp, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Mohammed Almzayyen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2146 Belcourt Ave, Vmg Business Office, Nashville, TN 37212 Phone: 615-343-6642 | |
Dr. Eric Owen Yeates, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-5000 | |
Dr. Reginald William Coopwood, M. D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1005 Dr. D. B. Todd Blvd, Nashville, TN 37208 Phone: 615-341-4746 Fax: 615-341-4046 | |
Dr. Douglas Alan Hale, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-936-2000 |