Kamau Malik Jackson, MD | |
420 Delaware St Se, Mmc 294 Mayo 8294, Minneapolis, MN 55455-0341 | |
(612) 624-9990 | |
Not Available |
Full Name | Kamau Malik Jackson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 21 Years |
Location | 420 Delaware St Se, Minneapolis, Minnesota |
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 |
---|---|---|---|
1851432066 | NPI | - | NPPES |
50010 | Other | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 50010 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Suburban Hospital | Bethesda, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
First Colonies Anesthesia Associates, Llc | 8426039744 | 335 |
First Colonies Anesthesia Associates, Llc | 8426039744 | 335 |
Entity Name | First Colonies Anesthesia Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040525000119 |
Mailing Address | Practice Location Address |
---|---|
Kamau Malik Jackson, MD 420 Delaware St Se, Mmc 294 Mayo 8294, Minneapolis, MN 55455-0341 Ph: (612) 624-9900 | Kamau Malik Jackson, MD 420 Delaware St Se, Mmc 294 Mayo 8294, Minneapolis, MN 55455-0341 Ph: (612) 624-9990 |
Dr. Matthew Larson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Brian Tolly, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000 | |
Vinod Kumar, Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455 Phone: 901-317-2162 | |
Robert E Mcklveen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Bryce C. Beverlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Nathan Wei-jim Liu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Dr. Michael H Wall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455 Phone: 612-273-3000 |