Dr Michael Doniel Jackson, MD | |
205 Wabasha St S, Saint Paul, MN 55107-1805 | |
(952) 967-5584 | |
Not Available |
Full Name | Dr Michael Doniel Jackson |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 34 Years |
Location | 205 Wabasha St S, Saint Paul, 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 |
---|---|---|---|
1659590735 | NPI | - | NPPES |
IN PROCESS | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 37062 (Iowa) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 37998 (Minnesota) | Primary |
Entity Name | Integrated Rehab Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20190102001971 |
Entity Name | Regenerative Medicine Of Iowa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346966587 PECOS PAC ID: 8426425133 Enrollment ID: O20221109003221 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Doniel Jackson, MD 2910 Westown Pkwy Ste 200, West Des Moines, IA 50266-1332 Ph: (515) 223-7773 | Dr Michael Doniel Jackson, MD 205 Wabasha St S, Saint Paul, MN 55107-1805 Ph: (952) 967-5584 |
Rebecca M Koerner, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6200 | |
Kristine Kay Spiewak, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 280 North Smith Avenue, Doctors Professional Building, Saint Paul, MN 55102 Phone: 651-241-8295 | |
Travis G O'brien, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 280 Smith Ave N Ste 220, Saint Paul, MN 55102 Phone: 651-241-8295 | |
Dr. Matthew Chase Severson, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-291-2848 Fax: 651-602-6885 | |
Eric Evan Kirksson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1321 Payne Ave Unit 2, Saint Paul, MN 55130 Phone: 651-371-4880 Fax: 651-371-4881 | |
Marshall H Taniguchi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-229-3819 Fax: 651-265-7443 | |
Temilola Abdul, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2270 Ford Pkwy Ste 200, Saint Paul, MN 55116 Phone: 651-696-5000 Fax: 651-696-5005 |