Jeffrey D Jackson, MD | |
1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | |
(801) 261-7479 | |
(801) 261-7429 |
Full Name | Jeffrey D Jackson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 23 Years |
Location | 1160 E 3900 S Ste 5000, Salt Lake City, Utah |
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 |
---|---|---|---|
1033123179 | NPI | - | NPPES |
797903000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 48648 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pinnacle Home Health, Inc | Holladay, UT | Home health agency |
Community Nursing Services | West valley city, UT | Home health agency |
St Mark's Hospital | Salt lake city, UT | Hospital |
Lone Peak Hospital | Draper, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountainstar Specialty Services Llc | 4688767551 | 30 |
Entity Name | Mountainstar Specialty Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265638357 PECOS PAC ID: 4688767551 Enrollment ID: O20070908000097 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey D Jackson, MD Po Box 100253, Atlanta, GA 30384-0253 Ph: () - | Jeffrey D Jackson, MD 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 Ph: (801) 261-7479 |
Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546 | |
Chrystina James, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011 | |
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Kayla L. Gates, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448 |