Lasandra D Jackson, MD | |
2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 | |
(864) 849-9555 | |
(864) 849-9556 |
Full Name | Lasandra D Jackson |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 27 Years |
Location | 2755 S Highway 14, Greer, South Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356429674 | NPI | - | NPPES |
202890 | Medicaid | SC | |
C09633 | Other | VA | GROUP PTAN |
C06695 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101240815 (Virginia) | Primary |
208600000X | Surgery | 20289 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Atrium Health Lincoln | Lincolnton, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Charlotte-mecklenburg Hospital Authority | 2961310685 | 489 |
Entity Name | Carolinas Physicians Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Angel Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497753651 PECOS PAC ID: 9638253297 Enrollment ID: O20090312000353 |
Entity Name | The Charlotte-mecklenburg Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605 |
Mailing Address | Practice Location Address |
---|---|
Lasandra D Jackson, MD Po Box 419402, Boston, MA 02241-9402 Ph: (864) 560-4304 | Lasandra D Jackson, MD 2755 S Highway 14, Suite 2200, Greer, SC 29650-4902 Ph: (864) 849-9555 |
Dr. Kevin Shultz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 The Pkwy, Greer, SC 29650 Phone: 649-680-1688 Fax: 864-968-9248 | |
Geetika Dembla, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 E Phillips Rd, Greer, SC 29650 Phone: 864-235-2335 | |
Dr. Barbara Sharon Murray, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Medical Pkwy Ste 250, Greer, SC 29650 Phone: 864-797-9480 Fax: 864-797-9482 | |
Dr. Paul Anthony Lepage, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2755 S Highway 14 Ste 2200, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556 | |
Dr. Derek Steven Brenda, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2755 S Highway 14, Suite 2500, Greer, SC 29650 Phone: 864-849-9555 Fax: 864-849-9556 | |
Timothy Lee Dersch, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 Medical Pkwy, Ste 200, Greer, SC 29650 Phone: 864-797-9400 Fax: 864-797-9402 |