J Ryan Jackson, DO | |
8405 E Baseline Rd Ste 104, Mesa, AZ 85209-4376 | |
(480) 674-3295 | |
Not Available |
Full Name | J Ryan Jackson |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 9 Years |
Location | 8405 E Baseline Rd Ste 104, Mesa, Arizona |
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 |
---|---|---|---|
1346633161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 007930 (Arizona) | Primary |
207N00000X | Dermatology | 007930 (Arizona) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Center For Dermatology Pllc | 1557355385 | 64 |
Entity Name | Center For Dermatology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194792416 PECOS PAC ID: 1557355385 Enrollment ID: O20040413001574 |
Entity Name | English Dermatology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245659432 PECOS PAC ID: 4385867761 Enrollment ID: O20140604000450 |
Mailing Address | Practice Location Address |
---|---|
J Ryan Jackson, DO 8405 E Baseline Rd Ste 104, Mesa, AZ 85209-4376 Ph: (480) 674-3295 | J Ryan Jackson, DO 8405 E Baseline Rd Ste 104, Mesa, AZ 85209-4376 Ph: (480) 674-3295 |
Jenna Wald, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4540 E Baseline Rd Ste 109, Mesa, AZ 85206 Phone: 480-982-3337 Fax: 480-497-4580 | |
Dr. Daniel Peterson Skinner Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2050 W Southern Ave Ste 102, Mesa, AZ 85202 Phone: 480-835-5532 Fax: 480-962-0106 | |
Dr. Ronald M Glick, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3940 E University Dr, Mesa, AZ 85205 Phone: 480-924-9235 Fax: 480-832-5501 | |
Paul Robert Love, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1520 S Dobson Rd, Suite 320, Mesa, AZ 85202 Phone: 480-844-0866 | |
Dr. Robert Albin Modic, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1450 S Dobson Rd, Suite 223, Mesa, AZ 85202 Phone: 480-969-3551 Fax: 480-644-0692 | |
Stephen Emerson Kessler, DO Dermatology Medicare: Medicare Enrolled Practice Location: 130 S 63rd St, Bldg 3 Suite 114, Mesa, AZ 85206 Phone: 480-981-2888 Fax: 480-654-0599 | |
Millard Phillip Thaler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2150 S Dobson Road, Ste #1, Mesa, AZ 85202 Phone: 480-820-2974 Fax: 480-897-0820 |