Dr Robert Wayne Jackson, DO | |
Sigler Ave, Memphis, MO 63555 | |
(660) 465-2828 | |
(660) 465-2820 |
Full Name | Dr Robert Wayne Jackson |
---|---|
Gender | Male |
Speciality | Rheumatology |
Experience | 43 Years |
Location | Sigler Ave, Memphis, Missouri |
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 |
---|---|---|---|
1730293705 | NPI | - | NPPES |
241853779 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | R6C73 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Macon County Samaritan Memorial Hospital | Macon, MO | Hospital |
Jefferson County Health Center | Fairfield, IA | Hospital |
Scotland County Hospital | Memphis, MO | Hospital |
Pershing Memorial Hospital | Brookfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Kirksville Specialty Clinic Llc | 3476983370 | 2 |
Sullivan County Memorial Hospital | 7810973252 | 13 |
Van Buren County Hospital | 7214829530 | 24 |
Pike County Memorial Hospital | 8123015518 | 29 |
Scotland County Memorial Hospital | 8224940366 | 28 |
Entity Name | General John J Pershing Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982612461 PECOS PAC ID: 2860306750 Enrollment ID: O20031117000114 |
Entity Name | Macon County Samaritan Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548215106 PECOS PAC ID: 1456261395 Enrollment ID: O20040121000179 |
Entity Name | Hannibal Clinic Operations, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427037225 PECOS PAC ID: 9931094182 Enrollment ID: O20040217001075 |
Entity Name | Carroll County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
Entity Name | Sullivan County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063553642 PECOS PAC ID: 7810973252 Enrollment ID: O20040626000444 |
Entity Name | Pike County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205837218 PECOS PAC ID: 8123015518 Enrollment ID: O20050214000278 |
Entity Name | Pike County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124030424 PECOS PAC ID: 8123015518 Enrollment ID: O20050407000376 |
Entity Name | General John J Pershing Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487616256 PECOS PAC ID: 2860306750 Enrollment ID: O20050422000230 |
Entity Name | Pike County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437265311 PECOS PAC ID: 8123015518 Enrollment ID: O20070410000136 |
Entity Name | Fulton Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1417367665 PECOS PAC ID: 7810211398 Enrollment ID: O20150123001617 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
Entity Name | Kirksville Specialty Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386126308 PECOS PAC ID: 3476983370 Enrollment ID: O20200416001776 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Wayne Jackson, DO Sigler Ave, R1 Box 54, Memphis, MO 63555 Ph: (660) 465-2828 | Dr Robert Wayne Jackson, DO Sigler Ave, Memphis, MO 63555 Ph: (660) 465-2828 |
Shane Charles Wilson, DO Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 450 E Sigler Ave, Ste A, Memphis, MO 63555 Phone: 660-465-2828 Fax: 660-465-2956 |