Pamela Dawn Randolph Jackson, MD | |
110 Irving St Nw, Washington, DC 20010 | |
(800) 353-0788 | |
(804) 355-6031 |
Full Name | Pamela Dawn Randolph Jackson |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 36 Years |
Location | 110 Irving St Nw, Washington, District Of Columbia |
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 |
---|---|---|---|
1801813407 | NPI | - | NPPES |
010150469 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | DC 19357 (District Of Columbia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medstar Washington Hospital Center | Washington, DC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Medical Group Ii Llc | 0547413825 | 1790 |
Entity Name | Washington Radiation Oncology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881637569 PECOS PAC ID: 8729091038 Enrollment ID: O20060802000403 |
Entity Name | Medstar Medical Group Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
Mailing Address | Practice Location Address |
---|---|
Pamela Dawn Randolph Jackson, MD 12605 Willow Marsh Lane, Bowie, MD 20720 Ph: (301) 262-1528 | Pamela Dawn Randolph Jackson, MD 110 Irving St Nw, Washington, DC 20010 Ph: (800) 353-0788 |
Kimberly Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 301-902-1073 | |
Dr. Michael B Shvarts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-7000 | |
Jonathan Rischall, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2150 Pennsylvania Avenue, Nw, The Gw Medical Faculty Associates, Washington, DC 20037 Phone: 202-741-3000 | |
Malem Gutema, MD Radiology Medicare: Medicare Enrolled Practice Location: 2400 6th St Nw, Washington, DC 20059 Phone: 503-476-5205 | |
Joel Bowers, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1150 Varnum St Ne, Washington, DC 20017 Phone: 202-269-7000 | |
Krista Lyn Mcfarren, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 New Mexico Ave Nw, Suite 102, Washington, DC 20016 Phone: 202-966-0606 Fax: 202-244-6757 | |
Ranjith Vellody, MD Radiology Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-476-5000 |