Dr Stephen H Jackson, MD | |
510 Lincoln Dr, Herrin, IL 62948-6334 | |
(618) 997-6800 | |
(618) 998-9635 |
Full Name | Dr Stephen H Jackson |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 510 Lincoln Dr, Herrin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952418089 | NPI | - | NPPES |
64241870 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 24187 (Kentucky) | Primary |
Entity Name | Southern Orthopedic Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396792412 PECOS PAC ID: 8921095514 Enrollment ID: O20090504000433 |
Entity Name | Orthopaedic Institute Of Western Kentucky Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497425177 PECOS PAC ID: 6204226061 Enrollment ID: O20211209001637 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen H Jackson, MD 4787 Alben Barkley Drive, Paducah, KY 42002 Ph: (270) 442-9461 | Dr Stephen H Jackson, MD 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800 |
Dr. James Michael Davis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. John B Wood, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. Robert J Golz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Ave, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. Steven D Young, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Dr. Thomas West Davis, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Mr. Jeremy Dale Palmer, PAC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6810 Fax: 618-998-9124 | |
Dr. Treg D Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Dr, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |