Leon S Jackson, MD | |
118 E Haskell St, Winnemucca, NV 89445-3247 | |
(608) 788-8103 | |
(608) 788-8799 |
Full Name | Leon S Jackson |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 40 Years |
Location | 118 E Haskell St, Winnemucca, Nevada |
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 |
---|---|---|---|
1285622175 | NPI | - | NPPES |
100505784 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 11348 (Nevada) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | G68430 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northern Nevada Medical Center | Sparks, NV | Hospital |
Banner Lassen Medical Center | Susanville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Radiology | 7517284151 | 6 |
Sparks Radiology Group Ltd. | 8820077894 | 6 |
Northstar Radiology - California | 5395062806 | 7 |
Plumas District Hospital | 8224930466 | 15 |
Entity Name | William Bee Ririe Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487648804 PECOS PAC ID: 9335051747 Enrollment ID: O20031104000372 |
Entity Name | Sparks Radiology Group Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992919237 PECOS PAC ID: 8820077894 Enrollment ID: O20040714001493 |
Entity Name | Northstar Radiology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356768014 PECOS PAC ID: 7517284151 Enrollment ID: O20150319002350 |
Entity Name | Banner Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427740570 PECOS PAC ID: 9537078365 Enrollment ID: O20230821001047 |
Mailing Address | Practice Location Address |
---|---|
Leon S Jackson, MD 2031 32nd St S, La Crosse, WI 54601-7099 Ph: (608) 788-8103 | Leon S Jackson, MD 118 E Haskell St, Winnemucca, NV 89445-3247 Ph: (608) 788-8103 |
Robert Grierson Leckie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 118 E Haskell St, Winnemucca, NV 89445 Phone: 775-623-5222 |