Jackie L Taylor, MD | |
708 W Forest Ave, Jackson, TN 38301-3901 | |
(731) 660-8759 | |
(731) 660-8739 |
Full Name | Jackie L Taylor |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 708 W Forest Ave, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710966130 | NPI | - | NPPES |
3889596 | Medicaid | TN | |
4072420 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD18902 (Tennessee) | Primary |
Entity Name | Emergency Medical Care Facilities Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565 |
Mailing Address | Practice Location Address |
---|---|
Jackie L Taylor, MD 1804 Highway 45 Byp, Suite 604, Jackson, TN 38305-4436 Ph: (731) 660-8759 | Jackie L Taylor, MD 708 W Forest Ave, Jackson, TN 38301-3901 Ph: (731) 660-8759 |
John Hayes, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8755 Fax: 731-660-8739 | |
Dr. Donald Charles Correll, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-425-6280 Fax: 731-425-4922 | |
Dr. William Tyler Hayden, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-343-0886 | |
Dr. Keith Alden Mosher Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301 Phone: 731-256-0526 Fax: 731-256-1720 | |
Jim C Craig Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Gloria Laws, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-541-3784 | |
Jay Gordon Shires, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-265-8355 |