Michael Gerard Jackson, MD | |
2352 Bruce B Downs Blvd Ste 205, Wesley Chapel, FL 33544-9203 | |
(813) 991-7416 | |
(813) 355-5097 |
Full Name | Michael Gerard Jackson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 17 Years |
Location | 2352 Bruce B Downs Blvd Ste 205, Wesley Chapel, Florida |
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 |
---|---|---|---|
1437354339 | NPI | - | NPPES |
004120900 | Medicaid | FL | |
P01024246 | Other | FL | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME110404 (Florida) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | ME110404 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Wesley Chapel | Wesley chapel, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohi West Medical Group Ii Llc | 0648631192 | 310 |
Florida Medical Clinic Llc | 9931003068 | 364 |
Entity Name | Florida Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821055690 PECOS PAC ID: 9931003068 Enrollment ID: O20031120000962 |
Mailing Address | Practice Location Address |
---|---|
Michael Gerard Jackson, MD 38135 Market Sq, Zephyrhills, FL 33542-7505 Ph: (352) 567-0188 | Michael Gerard Jackson, MD 2352 Bruce B Downs Blvd Ste 205, Wesley Chapel, FL 33544-9203 Ph: (813) 991-7416 |
Holly Ouillette, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2309 Crestover Ln, Wesley Chapel, FL 33544 Phone: 352-345-4456 Fax: 352-835-7740 | |
Dr. Kristen M Witkowski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2391 Oak Myrtle Ln, Wesley Chapel, FL 33544 Phone: 813-803-2219 | |
Megan B Monroe, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2391 Oak Myrtle Ln, Wesley Chapel, FL 33544 Phone: 813-803-2219 | |
Dr. Anthony Nosa Imudia, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2324 Cypress Cv, Wesley Chapel, FL 33544 Phone: 813-321-0146 | |
Petra Michelle Caselnova, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2700 Healing Way Ste 304, Wesley Chapel, FL 33543 Phone: 813-929-5341 Fax: 813-929-5393 | |
Dr. Ghanshyam Patel, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2734 Windguard Cir, 102, Wesley Chapel, FL 33544 Phone: 813-929-4999 |