Dr Michael S Jackson, MD | |
620 S Madison St Ste 304, Enid, OK 73701-7270 | |
(580) 233-6350 | |
(580) 233-6106 |
Full Name | Dr Michael S Jackson |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 25 Years |
Location | 620 S Madison St Ste 304, Enid, Oklahoma |
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 |
---|---|---|---|
1194755793 | NPI | - | NPPES |
100387680A | Medicaid | KS | |
100387680H | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 04-28958 (Kansas) | Secondary |
207V00000X | Obstetrics & Gynecology | 30290 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Integris Bass Baptist Health Center | Enid, OK | Hospital |
St Mary's Regional Medical Center | Enid, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integris Ambulatory Care Corporation | 2365408465 | 427 |
Entity Name | Integris Ambulatory Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael S Jackson, MD 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (580) 233-6350 | Dr Michael S Jackson, MD 620 S Madison St Ste 304, Enid, OK 73701-7270 Ph: (580) 233-6350 |
David D Parker, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 615 E Oklahoma Ave, Suite 203, Enid, OK 73701 Phone: 580-242-3870 Fax: 580-242-4046 | |
David L Weaver Jr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 601 W Garriott Rd, Enid, OK 73701 Phone: 580-977-1903 Fax: 580-548-1434 | |
Michelle R Bergner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 601 W Garriott Rd, Enid, OK 73701 Phone: 580-233-1100 Fax: 580-548-1434 | |
Dr. Christopher Marcus Lee, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 615 E Oklahoma Ave Ste 203, Enid, OK 73701 Phone: 580-242-3870 Fax: 580-242-4046 | |
Daniel E Oathout, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 620 S Madison St, Suite 301, Enid, OK 73701 Phone: 580-233-6350 Fax: 580-233-6106 | |
David M Keuchel, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 S Madison St, Suite 203, Enid, OK 73701 Phone: 580-237-7280 Fax: 580-548-1505 |