Dr Stephanie Colleen Jackson, MD | |
275 10th St Se Ste 3320, Cedar Rapids, IA 52403-2450 | |
(319) 398-1721 | |
Not Available |
Full Name | Dr Stephanie Colleen Jackson |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 275 10th St Se Ste 3320, Cedar Rapids, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013177872 | NPI | - | NPPES |
14922 | Other | NV | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 1252071 (Iowa) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 14922 (Nevada) | Primary |
Entity Name | Northern Arizona Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie Colleen Jackson, MD 275 10th St Se Ste 3320, Cedar Rapids, IA 52403-2450 Ph: (319) 398-1721 | Dr Stephanie Colleen Jackson, MD 275 10th St Se Ste 3320, Cedar Rapids, IA 52403-2450 Ph: (319) 398-1721 |
Dr. Dorthea Lorine Wheeler, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1730 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-365-3993 | |
Jennifer Ann Donovan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1201 3rd Ave Se, Eastern Iowa Health Center, Cedar Rapids, IA 52403 Phone: 319-730-7300 Fax: 319-730-7368 | |
Allyson L Wheaton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1730 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-365-3993 Fax: 319-364-0116 | |
Alan Whitters, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3705 River Ridge Dr Ne, Cedar Rapids, IA 52402 Phone: 319-393-0004 Fax: 319-393-0900 | |
Jeniece Nott, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1730 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-365-3993 | |
Mr. Winthrop S Risk Ii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 811 5th Ave Se, Cedar Rapids, IA 52403 Phone: 319-362-7924 Fax: 319-362-1435 |