Morris B Jackson, MD | |
3920 S Dupont Sq Ste C, Louisville, KY 40207-4615 | |
(812) 282-3899 | |
(812) 282-4172 |
Full Name | Morris B Jackson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 43 Years |
Location | 3920 S Dupont Sq Ste C, Louisville, Kentucky |
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 |
---|---|---|---|
1477511921 | NPI | - | NPPES |
64221815 | Medicaid | KY | |
201028460 | Medicaid | IN | |
P00314088 | Other | KY | RAILROAD MEDICARE |
00895267 | Other | KY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 22181 (Kentucky) | Primary |
208800000X | Urology | 01039636A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Lagrange | La grange, KY | Hospital |
Baptist Health Louisville | Louisville, KY | Hospital |
Norton Hospitals, Inc | Louisville, KY | Hospital |
Carroll County Memorial Hospital | Carrollton, KY | Hospital |
Jewish Hospital - Shelbyville | Shelbyville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
First Urology Psc | 3779572888 | 49 |
First Urology Psc | 3779572888 | 49 |
Entity Name | First Urology Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922099811 PECOS PAC ID: 3779572888 Enrollment ID: O20040512000212 |
Mailing Address | Practice Location Address |
---|---|
Morris B Jackson, MD 101 Hospital Blvd, Jeffersonville, IN 47130-3769 Ph: (812) 282-3899 | Morris B Jackson, MD 3920 S Dupont Sq Ste C, Louisville, KY 40207-4615 Ph: (812) 282-3899 |
Mr. Mohammed Adnan Said, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Dr. Mohammad Amin, MD Urology Medicare: Medicare Enrolled Practice Location: 800 Zorn Ave, Veterans Affairs Medical Center, Louisville, KY 40206 Phone: 502-287-4000 Fax: 502-287-6825 | |
Angelena B. Edwards, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 Phone: 502-559-1670 Fax: 502-349-1999 | |
Dr. Kellen Bo Yung Choi, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 480, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537 | |
Ross Micciche, Urology Medicare: Medicare Enrolled Practice Location: 501 E Broadway Ste 270, Louisville, KY 40202 Phone: 502-588-4740 | |
Anthony J. Casale, M.D. Urology Medicare: Medicare Enrolled Practice Location: 234 E Gray St, Suite 662, Louisville, KY 40202 Phone: 502-629-4220 | |
Rosa Park, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 401 E Chestnut St Unit 510, Louisville, KY 40202 Phone: 502-588-4740 |