Dr Tiffany Denise Jackson, MD | |
222 S Herlong Ave, Rock Hill, SC 29732-1158 | |
(803) 325-6301 | |
Not Available |
Full Name | Dr Tiffany Denise Jackson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 10 Years |
Location | 222 S Herlong Ave, Rock Hill, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053556399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2018-00161 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Atrium Health University City | Charlotte, NC | Hospital |
Piedmont Medical Center | Rock hill, SC | Hospital |
Novant Health Mint Hill Medical Center | Charlotte, NC | Hospital |
Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
Carolinas Medical Center-northeast | Concord, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acs Primary Care Physicians - Southeast Pc | 5193620714 | 335 |
Mid-atlantic Emergency Medical Associates Pllc | 4880686823 | 68 |
Wake Forest Emergency Providers | 7012819816 | 225 |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
Mailing Address | Practice Location Address |
---|---|
Dr Tiffany Denise Jackson, MD 400 Gilead Rd Ste 651, Huntersville, NC 28078-6899 Ph: (704) 781-8170 | Dr Tiffany Denise Jackson, MD 222 S Herlong Ave, Rock Hill, SC 29732-1158 Ph: (803) 325-6301 |
Stephen Barr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-329-6849 | |
Amir Reza Hashemi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234 | |
Dr. Edwin Iyere Ozua, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-324-1950 Fax: 803-324-1933 | |
John Lee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-329-6849 | |
Danny C Smith, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2174 Cherry Rd, Rock Hill, SC 29732 Phone: 803-325-8280 | |
Andrew Joseph Ohar, D.O., D.P.T Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234 |