Dr Richard Allen Jackson, MD | |
304 E Leigh St, Richmond, VA 23219-1410 | |
(804) 225-7148 | |
(804) 225-7159 |
Full Name | Dr Richard Allen Jackson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 45 Years |
Location | 304 E Leigh St, Richmond, Virginia |
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 |
---|---|---|---|
1578644290 | NPI | - | NPPES |
0542922 | Other | VA | ANTHEM/TRIGON/HMO/PPO/HEA |
541588928 | Other | VA | UNITEDHEALTHCARE |
541588928 | Other | VA | VA COORDINATED CARE |
44130 | Other | VA | SENTAR |
541588928 | Other | VA | SOUTHERHEALTH |
541588928 | Other | VA | VA PREMIER |
541588928 | Other | VA | PHCS |
006044140 | Medicaid | VA | |
541588928 | Other | VA | VIRGINIA HEALTH NETWORK |
C03251 | Other | VA | MCR GROUP# |
491268 | Other | VA | AETNA/HMO/PPO |
041765-00000 | Other | VA | QUAL CHOICE |
110054158 | Other | VA | MCR RAILROAD |
541588928/4971410007 | Other | VA | CIGNA/HMO/PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101030877 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
Bon Secours Richmond Community Hospital | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dominion Medical Associates, Inc. | 6406747609 | 2 |
Entity Name | Dominion Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396826046 PECOS PAC ID: 6406747609 Enrollment ID: O20040428001282 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Allen Jackson, MD 304 E Leigh St, Richmond, VA 23219-1410 Ph: (804) 225-7148 | Dr Richard Allen Jackson, MD 304 E Leigh St, Richmond, VA 23219-1410 Ph: (804) 225-7148 |
Dr. Amy Samantha May Paul, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Dept. Of Internal Medicine/geriatric Medicine, Richmond, VA 23298 Phone: 804-254-3500 Fax: 804-254-1616 | |
Dr. Clifton Linwood Parker, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8300 Fulham Drive, Richmond, VA 23227 Phone: 804-264-5901 | |
Dr. Michael A Mistretta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6600 W Broad St Ste 300, Richmond, VA 23230 Phone: 804-320-4243 Fax: 804-622-0552 | |
Patricia J Sime, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9000 Stony Point Pkwy, Richmond, VA 23235 Phone: 804-560-8921 Fax: 804-560-8992 | |
Dr. Katherine Lavan Smallwood, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6900 Forest Ave, Suite 300, Richmond, VA 23230 Phone: 804-346-1515 Fax: 804-270-2888 | |
Walid G. Abou Assi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7605 Forest Ave, Suite 109, Richmond, VA 23229 Phone: 804-285-6390 Fax: 804-285-6393 | |
Dr. Paulina Essah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 719 N 25th St, Richmond, VA 23223 Phone: 804-253-1963 Fax: 804-780-0862 |