| Gregory R Jackson, MD | |
|
800 Mercy Hospital, Alegent Mercy Hospital, Council Bluffs, IA 51503 | |
| (712) 328-5000 | |
| Not Available |
| Full Name | Gregory R Jackson |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 800 Mercy Hospital, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982640090 | NPI | - | NPPES |
| 4043109 | Medicaid | IA | |
| 41360 | Other | IA | BCBS |
| 5043109 | Medicaid | IA | |
| 8043109 | Medicaid | IA | |
| 17050 | Other | NE | LICENSE # |
| 207 | Other | MIDLANDS | |
| 26056 | Other | IA LICENSE # | |
| 35534 | Other | NE | BCBS |
| AJ2110310 | Other | IA CONTROLLED SUBSTANCE | |
| 7043109 | Medicaid | IA | |
| 6043109 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 17050 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 26056 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory R Jackson, MD Po Box 4460, Omaha, NE 68104 Ph: (866) 491-5807 | Gregory R Jackson, MD 800 Mercy Hospital, Alegent Mercy Hospital, Council Bluffs, IA 51503 Ph: (712) 328-5000 |
Gregory G Eckert, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr, Alegent Mercy Hospital, Council Bluffs, IA 51503 Phone: 712-328-5000 | |
Donald T Van De Water, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Alegent Mercy Hospital Dept Of Radiology, Council Bluffs, IA 51503 Phone: 712-328-5100 | |
Annabel Galva, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 402-361-5225 Fax: 402-391-1533 | |
Alex G Walker, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-6140 Fax: 712-396-6227 |