Herschel S Jackson Jr, MD | |
300 S 8th St, Suite 107#, Murray, KY 42071-2400 | |
(270) 753-9240 | |
(270) 767-3629 |
Full Name | Herschel S Jackson Jr |
---|---|
Gender | Male |
Speciality | Urology |
Location | 300 S 8th St, Murray, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194792796 | NPI | - | NPPES |
020006711 | Other | KY | RAILROAD MEDICARE ID |
64159742 | Medicaid | KY | |
000000045254 | Other | KY | ANTHEM ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 15974 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Herschel S Jackson Jr, MD 300 S 8th St, Suite 107#, Murray, KY 42071-2400 Ph: (270) 753-9240 | Herschel S Jackson Jr, MD 300 S 8th St, Suite 107#, Murray, KY 42071-2400 Ph: (270) 753-9240 |
Dr. Christopher G Stanczyk, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 300 S 8th St, Suite 107e, Murray, KY 42071 Phone: 270-762-1512 Fax: 270-752-2862 | |
Dr. Steven Lee Trevathan, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 300 S 8th St, Suite 107e, Murray, KY 42071 Phone: 270-762-1512 Fax: 270-752-2862 |