Dr Roberta L Jackson, MD | |
842 E Main St, Medford, OR 97504-7134 | |
(541) 773-2493 | |
(541) 779-3027 |
Full Name | Dr Roberta L Jackson |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 842 E Main St, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295798866 | NPI | - | NPPES |
055814 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD15832 (Oregon) | Primary |
Entity Name | Bend Memorial Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
Mailing Address | Practice Location Address |
---|---|
Dr Roberta L Jackson, MD 842 E Main St, Medford, OR 97504-7134 Ph: (541) 773-2493 | Dr Roberta L Jackson, MD 842 E Main St, Medford, OR 97504-7134 Ph: (541) 773-2493 |
Weston Jay Caywood, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 | |
Dr. John Nathan Simmons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-773-3966 | |
Chad Michael Ringger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-773-3966 | |
Dr. Eric Mullen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 541-732-7000 | |
Dr. Kristina E Darlington, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-779-3027 | |
Dr. Michael S Fennell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 842 E Main St, Medford, OR 97504 Phone: 541-773-2493 Fax: 541-779-3027 |