Gabrielle K Jackson, MD | |
1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | |
(434) 200-5895 | |
(434) 200-7529 |
Full Name | Gabrielle K Jackson |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 25 Years |
Location | 1901 Tate Springs Rd, Lynchburg, Virginia |
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 |
---|---|---|---|
1487651832 | NPI | - | NPPES |
010214769 | Other | VA PREMIER PROVIDER NUMBE | |
6122638001 | Other | CIGNA PROVIDER NUMBER | |
329076 | Other | SOUTHERN HEALTH PROVIDER | |
55500 | Other | SENTARA/OPTIMA PROVIDER N | |
B5342 | Other | MEDCOST PROVIDER NUMBER | |
186404 | Other | ANTHEM PROVIDER NUMBER | |
20-3639329 | Other | PCHP PROVIDER NUMBER | |
203639329014 | Other | TRICARE PROVIDER NUMBER | |
P00475085 | Other | VA | MEDICARE RAILROAD CARRIER |
010214769 | Medicaid | VA | |
203639329 | Other | UNITED HEALTHCARE PROVIDE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 0101231613 (Virginia) | Primary |
207Q00000X | Family Medicine | 0101231613 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
Centra Southside Community Hospital, Inc | Farmville, VA | Hospital |
Centra Bedford Memorial Hospital | Bedford, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centra Medical Group Llc | 4789606088 | 636 |
Entity Name | Centra Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
Mailing Address | Practice Location Address |
---|---|
Gabrielle K Jackson, MD Po Box 11646, Lynchburg, VA 24506-1646 Ph: (434) 200-5895 | Gabrielle K Jackson, MD 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 Ph: (434) 200-5895 |
Aric Jordan Moran, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2410 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-200-5252 | |
James Pittard, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-5895 Fax: 434-200-7529 | |
Dr. Robert Matthew Feuerstein, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-5895 | |
Samuel P Sawyer, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-5895 Fax: 434-200-7529 | |
Kensley Nichols, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 434-544-2337 | |
Dr. Richard S Kuk, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 2410 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-200-5252 Fax: 434-200-2862 |