Dr Richard Jackson, MD | |
505 Regency Xing, Southlake, TX 76092-9501 | |
(817) 913-6144 | |
Not Available |
Full Name | Dr Richard Jackson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 50 Years |
Location | 505 Regency Xing, Southlake, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659328060 | NPI | - | NPPES |
8G7458 | Other | TX | BCBS THRU HEB |
P00374822 | Other | TX | RAILROAD MCARE THRU HEB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | K8228 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Harris Methodist Hospital Southlake | Southlake, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Urgent Care Pa | 3072679828 | 122 |
Entity Name | Legacy Urgent Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
Entity Name | Southlake Emergicare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598172033 PECOS PAC ID: 9638398258 Enrollment ID: O20140915000506 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Jackson, MD 505 Regency Xing, Southlake, TX 76092-9501 Ph: (817) 913-6144 | Dr Richard Jackson, MD 505 Regency Xing, Southlake, TX 76092-9501 Ph: (817) 913-6144 |
Daniel Peckenpaugh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-748-8700 | |
Robert Frank Lutz Iii, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-557-8205 | |
Kent Alan Taub, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Fairway View Ter, Southlake, TX 76092 Phone: 214-649-1444 | |
Kristina Marie Dennington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Avenue, Ste #100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Meredith S Krebel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
James Alan Dennington, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 N Kimball Ave, Ste#100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Nannette F Crow, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2125 W Southlake Blvd Ste 107, Southlake, TX 76092 Phone: 817-680-9858 |