Oksana Jackson, MD | |
34th & Civic Center Blvd, Childrens Hospital Of Philadelphia, Philadelphia, PA 19104-4306 | |
(215) 590-2208 | |
(215) 590-2496 |
Full Name | Oksana Jackson |
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Gender | Female |
Speciality | Plastic Surgery |
Location | 34th & Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831255793 | NPI | - | NPPES |
102095848-0001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | MD424308 (Pennsylvania) | Primary |
Entity Name | Children's Surgical Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124 |
Mailing Address | Practice Location Address |
---|---|
Oksana Jackson, MD 100 East Penn Square, The Wanamaker Building 9th Fl, Philadelphia, PA 19107-3323 Ph: (267) 425-9538 | Oksana Jackson, MD 34th & Civic Center Blvd, Childrens Hospital Of Philadelphia, Philadelphia, PA 19104-4306 Ph: (215) 590-2208 |
Dr. Eugene Park, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3551 N Broad St, Philadelphia, PA 19140 Phone: 215-430-4000 | |
Dr. Shaun Douglas Mendenhall, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-2208 Fax: 215-590-2496 | |
Dr. John Henry Bast, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-285-8300 | |
Benjamin Chang, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104 Phone: 215-662-2737 Fax: 215-615-3424 | |
Aron David Wahrman, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Civic Center Blvd, 14th Fl, Philadelphia, PA 19104 Phone: 215-662-7300 | |
Suhail K Kanchwala, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 10 Penn Towers, Philadelphia, PA 19104 Phone: 215-662-9990 | |
Michael S Fakhraee, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 7500 Central Ave, Suite 101, Philadelphia, PA 19111 Phone: 215-728-8200 Fax: 215-725-3209 |