Dr Thomas R Jackson, MD | |
1100 Blythe Blvd, Charlotte, NC 28203-5814 | |
(704) 512-4808 | |
(704) 512-4838 |
Full Name | Dr Thomas R Jackson |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 23 Years |
Location | 1100 Blythe Blvd, Charlotte, North Carolina |
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 |
---|---|---|---|
1790765667 | NPI | - | NPPES |
5918134 | Medicaid | NC | |
TJ79199 | Medicaid | RI | |
1790765667 | Medicaid | NC | |
NC1445 | Medicaid | SC |
Facility Name | Location | Facility Type |
---|---|---|
Sunnyview Hospital And Rehabilitation Center | Schenectady, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedicsny, Llp | 6901898170 | 106 |
Entity Name | Orthopedicsny, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415412 PECOS PAC ID: 6901898170 Enrollment ID: O20040330001750 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas R Jackson, MD Po Box 601372, Charlotte, NC 28260-1372 Ph: (704) 512-4808 | Dr Thomas R Jackson, MD 1100 Blythe Blvd, Charlotte, NC 28203-5814 Ph: (704) 512-4808 |
Tiffany Hairston, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2144 Maplecrest Dr, Charlotte, NC 28212 Phone: 980-230-9405 | |
Antonio Tom Howard, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5735 Prosperity Crossing Dr, Ste 2100, Charlotte, NC 28269 Phone: 704-863-4878 | |
William L. Bockenek, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-9330 | |
Mr. George Crosby Iii, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1918 Randolph Rd, Ste 600, Charlotte, NC 28207 Phone: 704-342-0252 Fax: 704-342-1853 | |
Leon M. Chandler, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-355-9330 | |
Swaroop Sadashiv Gonchikar, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2001 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2000 | |
Leigh Ann Comerci, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4000 |